Individual
LATONYA BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4637 VIENNA CHURCH RD LOT 1, VALDOSTA, GA 31605-7516
(229) 630-5878
Mailing address
4637 VIENNA CHURCH RD LOT 1, VALDOSTA, GA 31605-7516
(229) 630-5878
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
O-009592
GA
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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