Individual
MARIANA BERGTOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3025 MISTY GLEN DR, REDDING, CA 96001-5719
(707) 499-5097
Mailing address
3025 MISTY GLEN DR, REDDING, CA 96001-5719
(707) 499-5097
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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