Mary Alice Perez, LVN
Licensed Vocational Nurse in Stafford, TX. Individual provider (NPI-1).
NPI number1982182283
StatusActive
Last updated in NPPESJul 30, 2018
Details
- NPI
- 1982182283
- Entity type
- Individual (NPI-1)
- Name
- Mary Alice Perez
- Credential
- LVN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 30, 2018
- Last updated
- Jul 30, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 147102 | TX | Yes |
Practice location
12371 S Kirkwood RdStafford, TX 77477-2836
Phone 713-995-9292
Mailing address
5010 Grove West Blvd Unit 1703Stafford, TX 77477-2623
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