Individual
SEAN BERGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4808 VALLE SANTO TRL NW, ALBUQUERQUE, NM 87120-4684
(505) 440-6684
Mailing address
4808 VALLE SANTO TRL NW, ALBUQUERQUE, NM 87120-4684
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
19988
NM
Other
Enumeration date
02/15/2021
Last updated
02/15/2021
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