HENRY BERGQUIST

LOS ANGELES, CA
NPI1497286637
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-03-21
Last Update Date2017-03-21
Business Address
HENRY BERGQUIST
2020 ZONAL AVE STE IRD624
LOS ANGELES, CA 90089-0121
Phone number: 323-409-6771
Mailing Address
HENRY BERGQUIST
51 N WIOTA ST
PHILADELPHIA, PA 19104-2212
Phone number: 617-733-2078