Individual
MRS. BEVERLY CRYSTAL BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1933 W 58TH ST, CLEVELAND, OH 44102-3214
(216) 671-8876
Mailing address
1933 W 58TH ST, CLEVELAND, OH 44102-3214
(216) 671-8876
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.126175IV
OH
Other
Enumeration date
01/04/2010
Last updated
01/04/2010
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