Individual
CORAL BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7471 104TH AVE NE, EDMORE, ND 58330-9345
(218) 791-2336
Mailing address
7471 104TH AVE NE, EDMORE, ND 58330-9345
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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