Individual
PATRICIA SUE BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
303 TWIN OAKS DR., MIDDLEBURY, IN 46540
(574) 202-5462
Mailing address
P.O. BOX 152, MIDDLEBURY, IN 46540
(574) 202-5462
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27046717A
IN
Other
Enumeration date
09/19/2008
Last updated
09/19/2008
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