Individual
MS. DARIELLE SHANETTE BERRIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1548 GEORGETOWN DR, LAKELAND, FL 33811
(863) 605-4266
Mailing address
1548 GEORGETOWN DR, LAKELAND, FL 33811
(863) 605-4266
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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