Perdomo, Gabriela

Perdomo, Gabriela is an sole proprietor health care provider with primary practice located at 174 Waterfront St Ste 200 , Oxon Hill MD 20745-1164. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Perdomo, Gabriela can be contacted via phone (000) 000-0000.

Contact Information

Primary practice address
174 Waterfront St Ste 200 Oxon Hill MD 20745-1164
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X C06484 Maryland

Profile Details

NPI number 1114440922
LBN Legal business name Perdomo, Gabriela
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2017
Last updated Jul 24th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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