Individual
NICOLAS CESAR BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS,LAT,ATC
Contact information
Practice address
812 6TH ST, PERU, NE 68421-3096
(209) 321-2210
Mailing address
812 6TH ST, PERU, NE 68421-3096
(209) 321-2210
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1106
NE
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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