DESTENY GRACE BERGDOLL

PHOENIX, AZ
NPI1346072071
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WS0200X Registered Nurse, School
(Licence: AZ  287895)
Enumeration Date2024-08-20
Last Update Date2024-08-20
Business Address
DESTENY GRACE BERGDOLL RN
811 N 13TH ST
PHOENIX, AZ 85006-3400
Phone number: 602-257-3865
Mailing Address
DESTENY GRACE BERGDOLL RN
1817 N 7TH ST
PHOENIX, AZ 85006-2133
Phone number: