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NPI Code Detail

MEDICARE: ANITA SHANTE PEREZ

MEDICARE:   ANITA SHANTE PEREZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175T00000XPeer Specialist

General Provider Information

NPI Number : 1942133749
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANITA SHANTE PEREZ
Provider Business Mailing Address
First Line : 3320 AUBURN WAY N
Second Line :
City : AUBURN
State : WA
Zip : 98002-1805
Country : US
Telephone Number : 253-999-5750
Fax Number :
Provider Business Practice Location Address
First Line : 3320 AUBURN WAY N
Second Line :
City : AUBURN
State : WA
Zip : 98002-1805
Country : US
Telephone Number : 253-999-5750
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2026
Last Update Date : 06/03/2026

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Directions to “ ANITA SHANTE PEREZ ” Practice Location

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