Jessica Iudiciani

NPI #1376940775 in Bloomfield, New Mexico

Provider Information

NPI Number: 1376940775
Entity Type: Individual
Name: Jessica Iudiciani
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - School
Enumeration Date: Dec 1, 2014
Last Updated: Dec 1, 2014

Practice Location

Address: 325 N BERGIN LN
City: Bloomfield
State: New Mexico
ZIP Code: 87413-6729
Phone: (505) 632-4389

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X	Primary

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