Individual
ANTOINETTE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27064 STARKEY LN, BROWNSTOWN TWP, MI 48174-8501
(313) 995-5476
Mailing address
27064 STARKEY LN, BROWNSTOWN TWP, MI 48174-8501
(313) 995-5476
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
01/27/2016
Last updated
01/27/2016
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