Individual
NICOLE MARIE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
170 FRANCIS LN APT A2, ORTONVILLE, MI 48462-9472
(248) 861-3976
Mailing address
170 FRANCIS LN APT A2, ORTONVILLE, MI 48462-9472
(248) 861-3976
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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