Individual
MRS. BONNADETTE LYNN BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7275 TOWNSHIP ROAD 72, EDISON, OH 43320-9730
(419) 688-9566
Mailing address
7275 TOWNSHIP ROAD 72, EDISON, OH 43320-9730
(419) 688-9566
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN081674
OH
Other
Enumeration date
03/18/2009
Last updated
03/18/2009
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