Most Relevant Information
Provider Data
| NPI Number: | 1003022450 |
| Provider Name: | JOANN M BERGESEN RNC, IBCLC |
| Entity Type: | Individual |
| Taxonomy Code: | 163WL0100X |
| Specialty: | Registered Nurse |
| License Number: | 201067 |
Most Important Dates
| Enumeration Date: | 05/15/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
2075 NINA CT
HAYWARD
CA
945416922
Practice Location Phone/Fax
| Phone: | 5108818269 |
| Fax: | 5108814860 |
Provider Mailing Location
2075 NINA CT
HAYWARD
CA
945416922
Provider Mailing Phone/Fax
| Phone: | 5108818269 |
| Fax: | 5108814860 |