Individual
ELIZABETH BERGEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
665 WALNUT AVE, VALLEJO, CA 94592-1177
(707) 556-8921
Mailing address
1432 CAMINO VERDE, WALNUT CREEK, CA 94597-2216
(925) 334-6775
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
28245877A
IN
163WS0200X
School Registered Nurse
Primary
95175386
CA
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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