Individual
MS. RONNY JEAN BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2100 5TH ST, DAVIS, CA 95616-6591
(530) 747-3199
Mailing address
1803 FINCH DRIVE, ROSEVILLE, CA 95661
(530) 747-3199
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
442960
CA
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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