Most Relevant Information
Provider Data
| NPI Number: | 1003590811 |
| Provider Name: | TLALLI RAQUEL PEREZ |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/12/2023 |
| Last Updated: | 06/12/2023 |
Provider Practice Location
5690 SANTA TERESITA DR STE 1
SANTA TERESA
NM
880089211
Practice Location Phone/Fax
| Phone: | 5759151338 |
| Fax: |
Provider Mailing Location
PO BOX 2523
SUNLAND PARK
NM
880632523
Provider Mailing Phone/Fax
| Phone: | 5759151338 |
| Fax: |