Individual
JENNIFER RENAE BERRIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
271 SW SANDY WAY, PORT ST LUCIE, FL 34986-2082
(772) 812-7734
Mailing address
271 SW SANDY WAY, PORT ST LUCIE, FL 34986-2082
(772) 812-7734
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA47543
FL
Other
Enumeration date
04/19/2013
Last updated
10/22/2013
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