Individual
DAUNE DENISE BERGERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12329 CREEKVIEW DR UNIT 37, SAN DIEGO, CA 92128-6624
(661) 378-2789
Mailing address
23796 VIA MADRID, MURRIETA, CA 92562-4542
(619) 548-2009
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D10506291
DRIVER LICENSE
AZ
Enumeration date
08/16/2022
Last updated
08/16/2022
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