Shanise Margot Perez
NPI #1639652878 in Southbridge, Massachusetts
Provider Information
- NPI Number
- 1639652878
- Entity Type
- Individual
- Name
- Shanise Margot Perez
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Sep 13, 2018
- Last Updated
- Sep 5, 2019
Practice Location
- Address
- 29 PINE ST
- City
- Southbridge
- State
- Massachusetts
- ZIP Code
- 01550-1823
- Phone
- (508) 765-9167
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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