Larson Bergquist
Larson Bergquist is a Student in an Organized Health Care Education/Training Program in Henderson, Nevada. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
2056 Sapphire Valley AveHenderson, NV 89074-1532
Phone: (702) 326-5960
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1740854744 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 14, 2021 |
| Last updated in NPPES | May 14, 2021 |
| Certification date | May 14, 2021 |
| Mailing address | 2056 Sapphire Valley Ave, Henderson, NV 89074-1532 |
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