SARA J PEROVICH

ALBUQUERQUE, NM
NPI1194819581
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: NM  6)
Enumeration Date2006-10-03
Last Update Date2009-10-20
Business Address
SARA J PEROVICH RD
8300 CONSTITUTION AVE NE KASEMAN HOSPITAL FOOD AND NUTRITION
ALBUQUERQUE, NM 87110-7613
Phone number: 505-291-2625
Mailing Address
SARA J PEROVICH RD
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-5356
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