Jacquelyn Diane Berumen PHM, CMS

NPI 1407289978 - Spec/Tech, Pathology - 246QM0900X

NPI Details
NPI 1407289978
Gender Female
Enumeration Date 08/19/2013
Last Updated 08/19/2013
Entity Type Individual
Active Over 5 years ago
Practice Location
1800 MOUNT VERNON AVE
BAKERSFIELD CA, 93306-3302, US
Phone (661) 868-0505
Fax
Business Location
1800 MOUNT VERNON AVE
BAKERSFIELD CA, 93306-3302, US
Phone (661) 868-0505
Fax
Toxanomy
Taxonomy Code 246QM0900X
License State California
License Number MTE959
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According to our database, Jacquelyn Diane Berumen PHM, CMS NPI is 1407289978, taxonomy code is 246QM0900X and license number is MTE959, license state is located at California. Jacquelyn Diane Berumen PHM, CMS physically located at 1800 Mount Vernon Ave, Bakersfield CA, 93306-3302. NPI Number Jacquelyn Diane Berumen PHM, CMS has the Individual type.

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1407289978 NPI number is provided on an as is basis without warranty of any kind. 1407289978 is maintained by the National Plan & Provider Enumeration System. The contents of Jacquelyn Diane Berumen PHM, CMS are for informational purposes only.