Individual
BAKITA UNIQUE BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
35 HEFFRON DR APT 9, FAIRFIELD, OH 45014-7723
(513) 383-0714
(513) 383-0714
Mailing address
35 HEFFRON DR APT 9, FAIRFIELD, OH 45014-7723
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
190385
OH
Other
Enumeration date
09/22/2025
Last updated
10/24/2025
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