Individual
MISS TAKIA L BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
706 N FAIRFIELD DR, PENSACOLA, FL 32506-4324
(850) 292-1964
Mailing address
706 N FAIRFIELD DR, PENSACOLA, FL 32506-4324
(850) 292-1964
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
FL
Other
Enumeration date
12/30/2018
Last updated
12/30/2018
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