Individual
JORDAN BERGERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
344 E 100 S STE 301, SALT LAKE CITY, UT 84111-1727
(801) 322-4257
Mailing address
2666 S FILMORE ST, SALT LAKE CITY, UT 84106-3604
(801) 688-7103
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/27/2013
Last updated
09/27/2013
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