Individual
MS. EILEEN BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1024 NE 9TH AVE., GAINESVILLE, FL 32601-4544
(352) 377-7443
Mailing address
1024 NE 9TH AVE., GAINESVILLE, FL 32601-4544
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
08/02/2006
Last updated
07/09/2007
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