Individual
JACKELYN DIAMANTE BERMUDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
140 PINE GROVE CMNS, YORK, PA 17403-5151
(717) 851-5590
Mailing address
140 PINE GROVE CMNS, YORK, PA 17403-5151
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG014692
PA
Other
Enumeration date
06/30/2022
Last updated
07/01/2022
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