Individual
HOLLY BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5200 BUNNY TRL, KILLEEN, TX 76549-6930
(254) 553-8110
Mailing address
36065 SANTA FE AVE, FORT HOOD, TX 76544-5060
(254) 553-8110
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
341965
TX
Other
Enumeration date
03/04/2021
Last updated
03/09/2021
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