person
Larson Bergquist
Student in an Organized Health Care Education/Training Program in Henderson, Nevada
NPI 1740854744

Larson Bergquist is a Student in an Organized Health Care Education/Training Program based in Henderson, NV. Larson Bergquist practices in Henderson, NV. The NPI Number for Larson Bergquist is 1740854744 and holds a License No. (Nevada).

The current practice location address for Larson Bergquist is 2056 Sapphire Valley Ave, Henderson, NV and can be reached out via phone at 702-326-5960.

Location: 2056 Sapphire Valley Ave, Henderson, NV, 89074-1532
person
Provider Profile Details
NPI Number
1740854744
Provider Name
Larson Bergquist
Credential
Provider Entity Type
Individual
Gender
Male
Address
2056 Sapphire Valley Ave, Henderson, NV, 89074-1532
Phone Number
702-326-5960
Fax Number
Provider Enumeration Date
05/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2056 Sapphire Valley Ave
City
State
Zip
89074-1532
Phone Number
702-326-5960
Fax Number
person
Provider Business Mailing Address Details
Address
2056 Sapphire Valley Ave
City
State
Zip
89074-1532
Phone Number
702-326-5960
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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