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Individual
MERCY YARIELA PERDOMO RODRIGUEZ
Active
Individual
MERCY YARIELA PERDOMO RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036159133
IL
2084P0800X
Psychiatry Physician
175057
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2084P0800X
—
CA
01
—
390200000X
STUDENT
NM
Enumeration date
04/13/2016
Last updated
01/18/2022
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