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Jennifer Ruth Bergquam, LMP
Specialist in Lake Stevens, Washington
NPI 1437395944

Jennifer Ruth Bergquam is a Specialist based in Marysville, WA. Jennifer Ruth Bergquam practices in Lake Stevens, WA and has the professional credentials of LMP. The NPI Number for Jennifer Ruth Bergquam is 1437395944 and holds a License No. 60055734 (Washington).

The current practice location address for Jennifer Ruth Bergquam is 9623 32Nd St Se, Lake Stevens, WA and can be reached out via phone at 360-834-6964.

Location: 9623 32Nd St Se, Lake Stevens, WA, 98270
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437395944
Provider Name
Jennifer Ruth Bergquam
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
9623 32Nd St Se, Lake Stevens, WA, 98270
Phone Number
360-834-6964
Fax Number
Provider Enumeration Date
01/05/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9623 32Nd St Se
City
Lake Stevens
State
Washington
Zip
98258
Phone Number
360-834-6964
Fax Number
person
Provider Business Mailing Address Details
Address
9623 32Nd St Se
City
Lake Stevens
State
Washington
Zip
98258
Phone Number
360-834-6964
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
60055734 (Washington)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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