Individual
JONATHAN PAUL BEDARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DSP, CRMA, CPR
Contact information
Practice address
27 QUIMBY ST APT 102, BIDDEFORD, ME 04005-5226
(207) 229-8959
Mailing address
27 QUIMBY ST APT 102, BIDDEFORD, ME 04005-5226
(207) 229-8959
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
ME
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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