Individual
BRUCE ALAN BERGLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
609 S 48TH AVE, YAKIMA, WA 98908-3614
(509) 965-9820
Mailing address
1905 BROWNE AVE, YAKIMA, WA 98902-2434
(509) 480-0299
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00007140
WA
Other
Enumeration date
05/24/2017
Last updated
05/24/2017
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