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John Perdomo, PSYCHOLOGIST
Student in an Organized Health Care Education/Training Program in Ione, California
NPI 1245985142

John Perdomo is a Student in an Organized Health Care Education/Training Program based in Rancho Cordova, CA. John Perdomo practices in Ione, CA and has the professional credentials of PSYCHOLOGIST. The NPI Number for John Perdomo is 1245985142 and holds a License No. (California).

The current practice location address for John Perdomo is 4001 Ca 104 Hwy, Ione, CA and can be reached out via phone at 209-274-4911.

Location: 4001 Ca 104 Hwy, Ione, CA, 95742-6726
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245985142
Provider Name
John Perdomo
Credential
PSYCHOLOGIST
Provider Entity Type
Individual
Gender
Male
Address
4001 Ca 104 Hwy, Ione, CA, 95742-6726
Phone Number
209-274-4911
Fax Number
Provider Enumeration Date
02/18/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4001 Ca 104 Hwy
City
Ione
State
California
Zip
95640
Phone Number
209-274-4911
Fax Number
person
Provider Business Mailing Address Details
Address
4001 Ca 104 Hwy
City
Ione
State
California
Zip
95640
Phone Number
209-274-4911
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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