Individual
KAYLA BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-5000
Mailing address
2338 WESTPORT LN, CROFTON, MD 21114-1211
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DX4109
MD
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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