Individual
MARCELITA A BERMUDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4502 HWY 951, JACKSON, LA 70748
(225) 634-0491
(225) 634-0229
Mailing address
9751 REGENCY DR, BATON ROUGE, LA 70815-4942
(225) 923-1315
(225) 634-0229
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
13864
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1953140
—
LA
Enumeration date
01/18/2007
Last updated
07/08/2007
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