Individual
DANIELLE BERGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 SPOKANE ST STE 202, WENATCHEE, WA 98801-6132
(509) 881-9296
Mailing address
17822 CHUMSTICK HWY, LEAVENWORTH, WA 98826-9105
(509) 881-9296
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
60482043
WA
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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