Individual
JENNIFER L BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31 POPPY ST, CASPER, WY 82604-3813
(307) 277-6708
Mailing address
31 POPPY ST, CASPER, WY 82604-3813
(307) 277-6708
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/15/2018
Last updated
03/15/2018
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