Jackie M Berg

NPI #1568279032 in Forbestown, California

Provider Information

NPI Number
1568279032
Entity Type
Individual
Name
Jackie M Berg
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Driver
Enumeration Date
Dec 17, 2024
Last Updated
Jan 16, 2025

Practice Location

Address
18997 NEW YORK FLAT RD.
ZIP Code
95941-0037
Phone
(530) 675-2577

Specialties & Taxonomy Codes

Specialty
Driver

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