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Jacqueline Randolph Perdomo

NPI 1730030859 · on the registry since 2026

Practice

Address
3221 Bluff View Ct Apt 204
Woodbridge, VA 22192
Phone
(703) 945-3393
Clinicians at this address
2

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Also registered as
225700000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-02-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia