Provider Demographics
NPI:1639823073
Name:PEREZ-GERMAIN, SALONA LYNN (RN)
Entity Type:Individual
Prefix:
First Name:SALONA
Middle Name:LYNN
Last Name:PEREZ-GERMAIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11002 E HIGHWAY 92
Mailing Address - Street 2:
Mailing Address - City:HEREFORD
Mailing Address - State:AZ
Mailing Address - Zip Code:85615-9493
Mailing Address - Country:US
Mailing Address - Phone:915-503-3714
Mailing Address - Fax:
Practice Address - Street 1:11002 E HIGHWAY 92
Practice Address - Street 2:
Practice Address - City:HEREFORD
Practice Address - State:AZ
Practice Address - Zip Code:85615-9493
Practice Address - Country:US
Practice Address - Phone:915-503-3714
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-04
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN169678163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management