Individual
GABRIELA PERDOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
174 WATERFRONT ST STE 200, OXON HILL, MD 20745-1164
(000) 000-0000
Mailing address
151 SOUTHHALL LN STE 300, MAITLAND, FL 32751-7172
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C06484
MD
Other
Enumeration date
07/24/2017
Last updated
07/24/2017
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