Individual
ISMAEL BERMUDO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3899 CAPE ROYAL ST, LAS VEGAS, NV 89147-6578
(323) 573-4430
Mailing address
3899 CAPE ROYAL ST, LAS VEGAS, NV 89147-6578
(323) 573-4430
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT21566
CA
Other
Enumeration date
03/26/2014
Last updated
03/26/2014
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