Individual
CRYSTELLE CAMILLE BERGINC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3701 J ST, SUITE 201, SACRAMENTO, CA 95816-5562
(855) 354-2242
(916) 457-2667
Mailing address
3701 J ST, SUITE 201, SACRAMENTO, CA 95816-5562
(855) 354-2242
(916) 457-2667
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21939
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619078904
—
CA
Enumeration date
06/27/2012
Last updated
04/07/2017
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