GENESIS E ORELLANA PERDOMO

LAWRENCEVILLE, GA
NPI1093531196
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  13599)
Enumeration Date2024-11-23
Last Update Date2026-06-29
Business Address
GENESIS E ORELLANA PERDOMO
815 SUMMER RIDGE LN
LAWRENCEVILLE, GA 30044-3939
Phone number: 678-852-8014
Mailing Address
GENESIS E ORELLANA PERDOMO
815 SUMMER RIDGE LN
LAWRENCEVILLE, GA 30044-3939
Phone number: 678-852-8014