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Individual
JESSICA YVETTE IXCAJOC BERMUDEZ
Active
Individual
JESSICA YVETTE IXCAJOC BERMUDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2104243397
—
NV
Enumeration date
01/30/2018
Last updated
01/30/2018
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