Individual
TELISHA A A BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6619 EAGLES NEST LN, MCCORDSVILLE, IN 46055-0050
(317) 496-1540
Mailing address
6619 EAGLES NEST LN, MCCORDSVILLE, IN 46055-0050
(317) 496-1540
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
23-015716
—
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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