Individual
SHAUNA BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1903 SPRING HILL AVE, MOBILE, AL 36607-2303
(251) 295-5110
(251) 545-4963
Mailing address
1903 SPRING HILL AVE, MOBILE, AL 36607-2303
(251) 295-5110
(251) 545-4963
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
K4H9M4J4
AL
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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