Individual
JESSICA JO BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1220 DIVISION AVE, TACOMA, WA 98403-1321
(253) 792-6640
Mailing address
1220 DIVISION AVE, TACOMA, WA 98403-1321
(253) 792-6640
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
60085828
WA
Other
Enumeration date
05/09/2007
Last updated
11/01/2011
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