person
Matthew Allan Bergendahl JR.
Student in an Organized Health Care Education/Training Program in Fontana, California
NPI 1417650268

Matthew Allan Bergendahl JR. is a Student in an Organized Health Care Education/Training Program based in Fontana, CA. Matthew Allan Bergendahl JR. practices in Fontana, CA. The NPI Number for Matthew Allan Bergendahl JR. is 1417650268 and holds a License No. (California).

The current practice location address for Matthew Allan Bergendahl JR. is 17234 Valley Blvd, Fontana, CA and can be reached out via phone at 657-248-9435.

Location: 17234 Valley Blvd, Fontana, CA, 92335-6720
person
Provider Profile Details
NPI Number
1417650268
Provider Name
Matthew Allan Bergendahl JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
17234 Valley Blvd, Fontana, CA, 92335-6720
Phone Number
657-248-9435
Fax Number
Provider Enumeration Date
03/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
17234 Valley Blvd
City
State
Zip
92335-6720
Phone Number
657-248-9435
Fax Number
person
Provider Business Mailing Address Details
Address
17234 Valley Blvd
City
State
Zip
92335-6720
Phone Number
657-248-9435
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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