Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacqueline Vanessa Randolph Perdomo

Individual provider Massage Therapist · NPI 1730030859

Jacqueline Vanessa Randolph Perdomo is a Massage Therapist in Woodbridge, Virginia. Licensed in Virginia. Registered with an NPI since 2026.

Licensed in
VA
In the registry since
2026
Specialties on file
2

Practice location Address checks out

3221 Bluff View Ct Apt 204
Woodbridge, VA 22192-1763
Phone: (703) 945-3393
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (VA)
Massage Therapist Taxonomy 225700000X · Licence 0019019815 (VA)

Record details

NPI number1730030859
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 5, 2026
Last updated in NPPESFebruary 5, 2026
Certification dateFebruary 5, 2026

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