Individual
KIMBERLY BERGRUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD(DONA)
Contact information
Practice address
1341 N POTLATCH DR, HOODSPORT, WA 98548
(253) 228-1081
Mailing address
1341 N POTLATCH DR, HOODSPORT, WA 98548
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
603578990
WA
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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