Individual
MRS. MARY EILEEN BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
600 N MOUNTAIN AVE, SUITE A104, UPLAND, CA 91786-4359
(909) 931-1033
(909) 981-8976
Mailing address
536 E MARIPOSA ST, UPLAND, CA 91784-2071
(909) 931-1033
(909) 981-8976
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
389253
CA
Other
Enumeration date
05/08/2007
Last updated
11/08/2010
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