NPI | 1043798358 |
---|---|
Former Name | CIRILO C PEREZ |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11032032) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 932673) |
363LF0000X Nurse Practitioner, Family (Licence: TX 1071211) | |
Enumeration Date | 2018-07-30 |
Last Update Date | 2024-06-12 |