Individual
ROXANNE BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9475 HAZEL DELL RD, HOWARD, OH 43028-9718
(740) 504-3404
Mailing address
9475 HAZEL DELL RD, HOWARD, OH 43028-9718
(740) 504-3404
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
HRF21341
OH
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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