Individual
HECTOR BERMUDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
300 YOAKUM PKWY, ALEXANDRIA, VA 22304-4052
(301) 266-3439
Mailing address
300 YOAKUM PKWY, ALEXANDRIA, VA 22304-4052
(301) 266-3439
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
4616
VA
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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