Individual
DONNA LYNN BERGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1702 STATE ROUTE 28, MIDLAND, OH 45148-9703
(937) 728-3219
Mailing address
1702 STATE ROUTE 28, MIDLAND, OH 45148-9703
(937) 728-3219
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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