Individual
MRS. CIERRA J BERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
8009 72ND DR NE, MARYSVILLE, WA 98270-7890
(425) 971-7496
Mailing address
8009 72ND DR NE, MARYSVILLE, WA 98270-7890
(425) 971-7496
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00012463
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136666
DEPARTMENT OF LABOR & IND
WA
Enumeration date
07/20/2007
Last updated
07/20/2007
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