Individual
BRENDA BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1290 E SPRUCE AVE, SUITE 101, FRESNO, CA 93720-3371
(559) 431-2397
Mailing address
1290 E SPRUCE AVE STE 101, FRESNO, CA 93720-3371
(559) 323-2145
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G85561
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G855610
—
CA
Enumeration date
09/12/2005
Last updated
05/07/2014
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