Individual
JESSE R BEDIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SFIDC
Contact information
Practice address
1400 OTTERBOURNE CIR, CHESAPEAKE, VA 23320-2927
(860) 710-1996
Mailing address
1400 OTTERBOURNE CIR, CHESAPEAKE, VA 23320-2927
(860) 710-1996
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
02/05/2008
Last updated
02/05/2008
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