Individual
LAKISHA MONIQUE BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
706 LOYOLA DR, FLINT, MI 48503-5222
(248) 943-8510
Mailing address
9226 PINEVILLE DR, LAKE WORTH, FL 33467-6175
(248) 943-8510
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
B62732254300
FL
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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