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SUSAN PEREZ LPN

>> Licensed Practical Nurse >> Nursing Service Providers

Registrant NPI Number: 1790178739

Individual Registrant:
 SUSAN  PEREZ LPN
Gender: F
Not Sole Proprietor

Location and contact information for practice:
3530 91ST ST FL 2  JACKSON HTS, NY 11372-5857 US
Tel: 347-791-7361  Fax: --

Contact information for business:
3530 91ST ST FL 2  JACKSON HTS, NY 11372-5857 US
Tel: 347-791-7361  Fax: --

Registration Information:
NPI: 1790178739
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y164W00000XNursing Service Providers
Licensed Practical Nurse
NY321419-1

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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