Most Relevant Information
Provider Data
| NPI Number: | 1003355611 |
| Provider Name: | JESSICA DANIELLE BERG LVN |
| Entity Type: | Individual |
| Taxonomy Code: | 164X00000X |
| Specialty: | Licensed Vocational Nurse |
| License Number: | VN278365 |
Most Important Dates
| Enumeration Date: | 02/15/2017 |
| Last Updated: | 02/15/2017 |
Provider Practice Location
2801 MEADOW LARK DR
SAN DIEGO
CA
921232709
Practice Location Phone/Fax
| Phone: | 8586944690 |
| Fax: |
Provider Mailing Location
8445 GRAVES AVE UNIT 15
SANTEE
CA
920715156
Provider Mailing Phone/Fax
| Phone: | 6192616145 |
| Fax: |