Most Relevant Information
Provider Data
| NPI Number: | 1003220450 |
| Provider Name: | DUARTE CESPEDES PEREZ SAC-IT |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 17175 |
Most Important Dates
| Enumeration Date: | 06/13/2014 |
| Last Updated: | 06/13/2014 |
Provider Practice Location
W9850 AIRPORT ROAD
BLACK RIVER FALLS
WI
546159998
Practice Location Phone/Fax
| Phone: | 7152849851 |
| Fax: |
Provider Mailing Location
W9850 AIRPORT ROAD
BLACK RIVER FALLS
WI
546159998
Provider Mailing Phone/Fax
| Phone: | 7152849851 |
| Fax: |