Linda L Bergdoll
Technician, Personal Care Attendant in Petersburg, WV. Individual provider (NPI-1).
NPI number1003414830
StatusActive
Last updated in NPPESOct 14, 2020
Details
- NPI
- 1003414830
- Entity type
- Individual (NPI-1)
- Name
- Linda L Bergdoll
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 14, 2020
- Certification date
- Oct 14, 2020
- Last updated
- Oct 14, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
12 Maple Hill Ave Ste 1Petersburg, WV 26847-1547
Phone 304-257-9298
Mailing address
1131 Durgon RdMoorefield, WV 26836-8391
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