Provider Demographics
NPI:1841551629
Name:PEREZ-HOLGUIN, JULIA M
Entity type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:M
Last Name:PEREZ-HOLGUIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8409 TALBOT ST
Mailing Address - Street 2:APT C53
Mailing Address - City:KEW GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11415-3552
Mailing Address - Country:US
Mailing Address - Phone:347-840-4869
Mailing Address - Fax:
Practice Address - Street 1:8409 TALBOT ST
Practice Address - Street 2:APT C53
Practice Address - City:KEW GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11415-3552
Practice Address - Country:US
Practice Address - Phone:347-840-4869
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-07
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist