Individual
VIRGINIA ANN BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
302 NW ARLINGTON AVE, LAWTON, OK 73507-6937
(580) 284-3143
Mailing address
302 NW ARLINGTON AVE, LAWTON, OK 73507-6937
(580) 284-3143
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
12/16/2017
Last updated
12/16/2017
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