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Search › Washington › 101YA0400X

Kevin Bergeron, SUDPT

NPI 1700527280 · on the registry since 2022

Practice

Address
1703 Douglas Ct
Milton, WA 98354
Phone
(360) 888-7087
Organisation at this address
Remnant Cleaning Llc
Remnant Army Northwest
Resurgence Northwest Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-08-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington