Individual
MRS. JOANN M BERGESEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNC, IBCLC
Contact information
Practice address
2075 NINA CT, HAYWARD, CA 94541-6922
(510) 881-8269
(510) 881-4860
Mailing address
2075 NINA CT, HAYWARD, CA 94541-6922
(510) 881-8269
(510) 881-4860
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
201067
CA
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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