Individual
CANDACE M BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21 CATAMARAN CT, RIDGELEY, WV 26753-9768
(704) 749-4060
Mailing address
21 CATAMARAN CT, RIDGELEY, WV 26753-9768
(704) 749-4060
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
UD000316084001
WV
Other
Enumeration date
04/02/2014
Last updated
04/02/2014
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