Healthcare Provider Details

I. General information

NPI: 1427595362
Provider Name (Legal Business Name): ANNE MAY PEREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/30/2017
Last Update Date: 01/31/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3728 S MISSION PKWY
AURORA CO
80013-2445
US

IV. Provider business mailing address

3728 S MISSION PKWY
AURORA CO
80013-2445
US

V. Phone/Fax

Practice location:
  • Phone: 360-204-8275
  • Fax:
Mailing address:
  • Phone: 360-204-8275
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: