Individual
MS. IVONNE VIRIDIANA PEREZ CARDONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
550 S CLEVELAND AVE STE C, WESTERVILLE, OH 43081-8958
(614) 898-9410
Mailing address
5421 VALLEY PIKE, URBANA, OH 43078-9440
(937) 591-8822
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50.008538RX
OH
Other
Enumeration date
12/15/2023
Last updated
12/18/2023
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