JORGE ENRIQUE PERDOMO

PORTSMOUTH, VA
NPI1164125126
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-03-27
Last Update Date2023-05-21
Business Address
JORGE ENRIQUE PERDOMO
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708-2111
Phone number: 786-556-7128
Mailing Address
JORGE ENRIQUE PERDOMO
15902 SW 64TH TER
MIAMI, FL 33193-3649
Phone number: 786-556-7128
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