Individual
MISS BERLY NEWBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADMINISTRATOR
Contact information
Practice address
1324 GREENWAY RISE, 1324 GREENWAY RISE, ESCONDIDO, CA 92027-1169
(858) 888-3064
(858) 939-9170
Mailing address
1324 GREENWAY RISE, 1324 GREENWAY RISE, ESCONDIDO, CA 92027-1169
(858) 888-3064
(858) 939-9170
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
3746033321
CA
163WR0400X
Rehabilitation Registered Nurse
4746033321
CA
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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