Individual
DR. BREANNA ALICIA BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1418 E PROSPERITY AVE, TULARE, CA 93274-8054
(559) 684-7963
Mailing address
1137 N MADISON CT, TULARE, CA 93274-7310
(559) 909-2776
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
71946
CA
Other
Enumeration date
12/22/2014
Last updated
12/22/2014
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