Individual
MR. JEFFREY BERGER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1221 S CLEARVIEW PKWY, JEFFERSON, LA 70121-1011
(504) 905-4395
Mailing address
612 WILLOWRIDGE DR, LULING, LA 70070-3217
(504) 905-4395
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2255A2300X
LA
Other
Enumeration date
10/09/2015
Last updated
10/09/2015
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