JAMES DOUGLAS BERGUM

SANTA CRUZ, CA
NPI1073148235
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy242T00000X Perfusionist
(Licence:   049011)
Enumeration Date2020-03-09
Last Update Date2020-03-09
Business Address
JAMES DOUGLAS BERGUM CCP
1555 SOQUEL DR
SANTA CRUZ, CA 95065-1794
Phone number: 855-489-4580
Mailing Address
JAMES DOUGLAS BERGUM CCP
144 HOLM RD SPC 31
WATSONVILLE, CA 95076-2427
Phone number: 831-277-0810