Individual
JACQUELYN DIANE BERUMEN
Active
Individual
JACQUELYN DIANE BERUMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHM, CMS
Taxonomy
Speciality
Code
Description
License number
State
246QM0900X
Microbiology Specialist/Technologist
MTE959
CA
246QM0900X
Microbiology Specialist/Technologist
Primary
PHM2100
CA
Other
Enumeration date
08/19/2013
Last updated
08/19/2013
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