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Individual
MS. MELODY ANN JASSEM BERMAN
Active
Individual
MS. MELODY ANN JASSEM BERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01235
OR
363AS0400X
Surgical Physician Assistant
60709
CA
363AS0400X
Surgical Physician Assistant
PA01235
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8482952
—
WA
Enumeration date
01/30/2007
Last updated
04/01/2024
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