John Perdomo, PSYCHOLOGIST
John Perdomo, PSYCHOLOGIST is a Student in an Organized Health Care Education/Training Program in Ione, California. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
4001 Ca 104 HwyIone, CA 95640
Phone: (209) 274-4911
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1245985142 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PSYCHOLOGIST |
| Sole proprietor | Yes |
| NPI enumerated | February 18, 2022 |
| Last updated in NPPES | February 18, 2022 |
| Certification date | February 5, 2022 |
| Mailing address | 12736 Cordyline Way, Rancho Cordova, CA 95742-6726 |
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MS. Shevalier Swanson
4001 HIGHWAY104, Ione, CA 95640 · (209) 274-4911