Individual provider · Type 1 NPI

Jason Yamil Perez I

Student in an Organized Health Care Education/Training Program · Brockton, MA

NPI number 1225452097 Active

Practice location

142 Crescent St, Second Floor
Brockton, MA 02302-3104

Call (508) 941-0005 Map

Fax (508) 427-6915

Mailing address

142 Crescent Street, Second Floor
Brockton, MA 02302

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XS63796894 (MA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1225452097

Jason Yamil Perez I's National Provider Identifier is 1225452097, issued on Feb 13, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brockton, MA. The record was last updated on Feb 13, 2014.