Brisa Gisselle Perez-Mazo
NPI #1700606266 in Minot, North Dakota
Provider Information
- NPI Number
- 1700606266
- Entity Type
- Individual
- Name
- Brisa Gisselle Perez-Mazo
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Enumeration Date
- Oct 10, 2024
- Last Updated
- Nov 19, 2025
Practice Location
- Address
- 1015 S BROADWAY STE 18
- City
- Minot
- State
- North Dakota
- ZIP Code
- 58701-4667
- Phone
- (701) 857-8500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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