Individual
AMAYBRI PERDOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3214 WINCHESTER, BENTON, AR 72015-2929
(754) 207-7299
Mailing address
3214 WINCHESTER, BENTON, AR 72015-2929
(754) 207-7299
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/06/2022
Last updated
05/06/2022
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