Iudiciani, Jessica

Iudiciani, Jessica is an individual health care provider with primary practice located at 325 N Bergin Ln , Bloomfield NM 87413-6729. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Iudiciani, Jessica can be contacted via phone (505) 632-4389.

Contact Information

Primary practice address
325 N Bergin Ln Bloomfield NM 87413-6729
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1376940775
LBN Legal business name Iudiciani, Jessica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2014
Last updated Dec 1st, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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