Individual
JESSICA DANIELLE BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2801 MEADOW LARK DR, SAN DIEGO, CA 92123-2709
(858) 694-4690
Mailing address
8445 GRAVES AVE UNIT 15, SANTEE, CA 92071-5156
(619) 261-6145
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN278365
CA
Other
Enumeration date
02/15/2017
Last updated
02/15/2017
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