Individual
INGRID PERDOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13043 SW 195TH ST, MIAMI, FL 33177-4255
(786) 701-2610
Mailing address
13043 SW 195TH ST, MIAMI, FL 33177-4255
(786) 701-2610
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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