Individual
BICENTE BERMEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2222 M ST, MERCED, CA 95340-3729
(209) 385-7434
Mailing address
1400 E 23RD ST, MERCED, CA 95340-4109
(209) 631-9093
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
B1301032105
CA
Other
Enumeration date
03/10/2016
Last updated
03/10/2016
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