Individual
ANNIE LARISSA PERDOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
7330 N 99TH AVE STE 325, GLENDALE, AZ 85307-3022
(480) 398-7620
(480) 398-7621
Mailing address
3815 E BELL RD STE 4500, PHOENIX, AZ 85032-2171
(602) 633-3848
(602) 633-3841
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
279414
AZ
Other
Enumeration date
08/19/2022
Last updated
07/30/2024
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