Individual
XUAN LE BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
180 RED OAKS SHOPPING CTR., RONCEVERTE, WV 24970
(304) 645-0310
(304) 645-0312
Mailing address
180 RED OAKS SHOPPING CTR., RONCEVERTE, WV 24970
(304) 645-0310
(304) 645-0312
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0007099
WV
Other
Enumeration date
12/07/2010
Last updated
12/07/2010
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