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Individual

JACQUELINE RENEE PERDUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
4830 RUCKER RD, MONETA, VA 24121-5281
(540) 297-7181
Mailing address
1293 RED FOX LN, MONETA, VA 24121-2963
(804) 720-4852

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-006377
VA

Other

Enumeration date
09/10/2018
Last updated
09/10/2018
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