Individual
NADRA BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
13070 BERMUDA DUNES RD, VICTORVILLE, CA 92395-5177
(760) 596-4031
Mailing address
9706 SVL BOX, VICTORVILLE, CA 92395-5177
(760) 596-4031
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
267872
CA
Other
Enumeration date
12/16/2015
Last updated
11/02/2016
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