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Contact Information

JANICE PERIDO, PA-C
280 1ST ST
HOLLOMAN AFB, NM88330-8273
 Phone: 575-572-1859
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JANICE PERIDO · (Female)

NPI Number 1558797241
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/25/2013
Last updated 11/26/2024 - More than a year ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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