Perdomo, Jacqeline Vanesa
Perdomo, Jacqeline Vanesa is an sole proprietor health care provider with primary practice located at 4500 Forbes Blvd , Glenarden MD 20706-6312. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Perdomo, Jacqeline Vanesa can be contacted via phone (301) 970-9678.Contact Information
Primary practice address
4500 Forbes Blvd
Glenarden MD 20706-6312
Phone: (301) 970-9678
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1811576853 |
|---|---|
| LBN Legal business name | Perdomo, Jacqeline Vanesa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 6th, 2021 |
| Last updated | Apr 6th, 2021 - about 5 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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