Individual
SUSAN BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1 OHANLON PLACE, BARBOURSVILLE, WV 25504
(304) 733-5584
Mailing address
2 ALEXANDER HTS, HUNTINGTON, WV 25705-3260
(304) 208-7203
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
158948
OH
164W00000X
Licensed Practical Nurse
28695
WV
Other
Enumeration date
05/21/2015
Last updated
05/21/2015
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