Individual
AMANDA BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1371 LOMA AVE, #203, LONG BEACH, CA 90804-2900
(619) 764-9318
Mailing address
1371 LOMA AVE, #203, LONG BEACH, CA 90804-2900
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/27/2013
Last updated
08/27/2013
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