Individual
MELISSA KAY BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
208 GASLIGHT BLVD STE D, LUFKIN, TX 75904-3166
(936) 465-9181
(936) 465-9787
Mailing address
106 WILLOW BAY DR, LUFKIN, TX 75901-6014
(936) 414-5888
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
686391
TX
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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