Individual
KACI MICHELLE BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 33RD ST S APT 108, FARGO, ND 58103-7826
(701) 238-1086
Mailing address
3100 33RD ST S APT 108, FARGO, ND 58103-7826
(701) 238-1086
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/05/2022
Last updated
05/05/2022
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