Individual
MS. ESMERALDA VIRGINIA BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
48303 20TH ST W, SPACEW 166, LANCASTER, CA 93534-7424
(800) 787-6787
Mailing address
48303 20TH ST W, SPACE 166, LANCASTER, CA 93534-7424
(661) 468-0071
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4671
CA
Other
Enumeration date
04/22/2011
Last updated
04/22/2011
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