Individual
KIMBERLY BERGSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6889 S EASTERN AVE, LAS VEGAS, NV 89119-4687
(702) 434-1200
Mailing address
1250 LAMOILLE HWY STE 103, ELKO, NV 89801-4397
(775) 388-7504
(775) 738-1221
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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