Individual
GENESIS E ORELLANA PERDOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
815 SUMMER RIDGE LN, LAWRENCEVILLE, GA 30044-3939
(678) 852-8014
Mailing address
815 SUMMER RIDGE LN, LAWRENCEVILLE, GA 30044-3939
(678) 852-8014
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/23/2024
Last updated
11/23/2024
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