Individual
MARY KATHLEEN BERGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
15865 AVENIDA VENUSTO APT 816, SAN DIEGO, CA 92128-3396
(662) 231-0163
Mailing address
15865 AVENIDA VENUSTO APT 816, SAN DIEGO, CA 92128-3396
(662) 231-0163
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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