Individual
MS. CARISSA BERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
16010 TUPPER ST, NORTH HILLS, CA 91343-3046
(310) 623-2687
Mailing address
16010 TUPPER ST, NORTH HILLS, CA 91343-3046
(310) 623-2687
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86059239
CA
Other
Enumeration date
02/10/2018
Last updated
02/10/2018
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