Individual
SOFIA PERDOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
PO BOX 53, COTTONTOWN, TN 37048-0053
(000) 000-0000
Mailing address
PO BOX 53, COTTONTOWN, TN 37048-0053
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
273673
TN
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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