Individual
KAILEE BERGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
575 MENLO DR STE 3, ROCKLIN, CA 95765-3709
(916) 287-1914
Mailing address
575 MENLO DR STE 3, ROCKLIN, CA 95765-3709
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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