Individual
JESSICA MARIE BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
45 LYME RD STE 201, HANOVER, NH 03755-1260
(603) 643-2140
Mailing address
29 BEECH ST APT B, NEWPORT, NH 03773-1414
(978) 766-3217
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0995
NH
Other
Enumeration date
08/26/2019
Last updated
08/27/2019
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