Individual
MICHELLE RENEE BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CN
Contact information
Practice address
PO BOX 2721, WALLA WALLA, WA 99362-0335
(509) 540-3159
Mailing address
PO BOX 2721, WALLA WALLA, WA 99362-0335
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
NU61192776
WA
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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