Individual
STEPHANIE BERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6024 HOPKINS RD, FLINT, MI 48506-1656
(810) 620-2119
Mailing address
6024 HOPKINS RD, FLINT, MI 48506-1656
(810) 620-2119
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703110319
MI
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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