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1003354010
NICAEA BERRY
LANCASTER, CA
NPI
1003354010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: CA 16114-16)
Enumeration Date
2017-02-09
Last Update Date
2023-02-09
Business Address
NICAEA BERRY CCMA
349A E AVENUE K6
LANCASTER, CA 93535-4548
Phone number: 661-723-4260
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Mailing Address
NICAEA BERRY CCMA
349A E AVENUE K6
LANCASTER, CA 93535-4548
Phone number: 661-723-4260
Copy
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