Individual
JANICE PERIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
280 1ST ST, HOLLOMAN AFB, NM 88330-8273
(575) 572-1859
Mailing address
280 DAVID L GOLDFEIN ST, HOLLOMAN AFB, NM 88330-8273
(575) 572-1859
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
09/25/2013
Last updated
11/26/2024
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