Individual
MASSIEL N OVALLES PERDOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
403 ALCOTT ST, PHILADELPHIA, PA 19120-1101
(267) 516-6829
Mailing address
403 ALCOTT ST, PHILADELPHIA, PA 19120-1101
(267) 516-6829
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
88853601
PA
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124994348
—
PA
Enumeration date
12/08/2025
Last updated
02/05/2026
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