Individual
MRS. KATHERINE BERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
967 W HEDDING ST STE 110, SAN JOSE, CA 95126-1259
(858) 205-9478
Mailing address
967 W HEDDING ST STE 110, SAN JOSE, CA 95126-1259
(858) 205-9478
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
001091091
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114570876
NPI
CA
Enumeration date
07/22/2019
Last updated
02/01/2021
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