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Individual

MS. DEBBIE ANN BERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MASSAGE THERAPIST

Contact information

Practice address
515 CATSKILL ST, RICHLAND, WA 99354-2219
(509) 946-7570
Mailing address
515 CATSKILL ST, RICHLAND, WA 99354-2219
(509) 946-7570

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00012642
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
128130
LABOR & INDUSTRY ID #
WA
01
16352GH
GROUP HEALTH ID #
WA
Enumeration date
06/26/2007
Last updated
07/08/2007
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