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Individual

MISS AYSHA BERMUDEZ REYES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
921 ASSEMBLY ST, COLUMBIA, SC 29208-0001
(803) 777-7000
Mailing address
390 CAROL DR, VENTURA, CA 93003-1711

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
05/22/2018
Last updated
07/01/2020
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