Individual
ANA JASMIN PERDOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5730 PACKARD AVE STE 500, MARYSVILLE, CA 95901-7119
(916) 953-8566
Mailing address
5730 PACKARD AVE STE 500, LINDA, CA 95901-7119
(916) 953-8566
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95022990
CA
363LP2300X
Primary Care Nurse Practitioner
95022990
CA
Other
Enumeration date
10/13/2022
Last updated
03/27/2025
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