Individual
HAZEL IVETTE PERDOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS-CCC-SLP
Contact information
Practice address
3166 E PALMDALE BLVD STE 112, PALMDALE, CA 93550-5038
(661) 274-8454
(661) 274-7614
Mailing address
3166 E PALMDALE BLVD STE 112, PALMDALE, CA 93550-5038
(661) 274-8454
(661) 274-7614
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
18772
CA
Other
Enumeration date
07/05/2011
Last updated
07/05/2011
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