Individual
DANIELLE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
58 MURRAY ST SE, GRAND RAPIDS, MI 49548-3304
(616) 780-5305
Mailing address
58 MURRAY ST SE, GRAND RAPIDS, MI 49548-3304
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
470312202
MI
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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