Jennifer Ruth Bergquam, LMP

NPI #1437395944 in Lake Stevens, Washington

Provider Information

NPI Number
1437395944
Entity Type
Individual
Name
Jennifer Ruth Bergquam, LMP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Credential
LMP
Enumeration Date
Jan 5, 2009
Last Updated
Sep 19, 2014

Practice Location

Address
9623 32ND ST SE
ZIP Code
98258
Phone
(360) 834-6964

Specialties & Taxonomy Codes

Specialty
Specialist

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