Individual
TESSA BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4974 EL CAJON BLVD, SUITE A, SAN DIEGO, CA 92115-4677
(619) 286-4600
(619) 286-0060
Mailing address
6795 ALVARADO ROAD, #1, SAN DIEGO, CA 92120-5202
(619) 286-4600
(619) 286-0060
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
266316
CA
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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