Individual
LAKISHA LOUISE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14108 PIONEER BLUFFS RD, BALCH SPRINGS, TX 75181-2169
(313) 465-5913
Mailing address
14108 PIONEER BLUFFS RD, BALCH SPRINGS, TX 75181-2169
(313) 465-5913
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
946575
TX
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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