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Individual

MRS. TERRI DENISE BERGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
3525 PELANDALE AVE, MODESTO, CA 95356-9781
(559) 572-3880
(559) 572-3349
Mailing address
3525 PELANDALE AVE, MODESTO, CA 95356-9781
(559) 572-3880
(559) 572-3349

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
LIC#438822CERT#11720
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
11720
CA

Other

Enumeration date
11/07/2011
Last updated
02/23/2022
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