Individual
MS. ANDREA MEGAN BERGERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1319 LEE BLVD, RICHLAND, WA 99352
(509) 943-9589
(509) 946-6669
Mailing address
1319 LEE BLVD, RICHLAND, WA 99352
(509) 943-9589
(509) 946-6669
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00024449
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA00024449
STATE OF WA DEPT OF HLTH
WA
Enumeration date
12/28/2007
Last updated
12/28/2007
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