Individual
JACQUELINE BLANCHE BERGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3901 HOYT AVE, EVERETT, WA 98201-4988
(425) 339-5456
(425) 303-3091
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 304-8431
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP61315834
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2019
Last updated
10/23/2023
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