Doctor Name: | REBECCA K PEREZ |
NPI Number: | 1962664938 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD/LD |
License Number: | LD2026 |
Business Practice Address: | 3568 Pin Oak Cir Doraville, GA - 303402514 |
Business Phone Number: | 7704467971 |
Business Fax Number: | |
Mailing Address: | 3568 Pin Oak Cir, DORAVILLE |
State: | GA |
Postal Code: | 303402514 |
Phone Number: | 7704467971 |
Fax Number: | |
NPI Enumeration Date: | 06/30/2008 |
NPI Last Update Date: | 06/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133VN1006X |
License Number: | LD2026 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | Nutrition, Metabolic |
Taxonomy Definition: |