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Individual

JOSE LUIS PERDOMO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1725 ADAMS AVE, EL CENTRO, CA 92243-1910
(442) 226-0503
Mailing address
PO BOX 24, HOLTVILLE, CA 92250-0024
(442) 226-0503

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary

Other

Enumeration date
02/25/2025
Last updated
02/25/2025
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