Jessica Bergstrom

NPI #1952689119 in Tukwila, Washington

Provider Information

NPI Number: 1952689119
Entity Type: Individual
Name: Jessica Bergstrom
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Jul 21, 2011
Last Updated: Jul 21, 2011

Practice Location

Address: 301 STRANDER BLVD
Address 2: T-0627
City: Tukwila
State: Washington
ZIP Code: 98188-2971
Phone: (206) 394-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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