MATTHEW ALLAN BERRY

FONTANA, CA
NPI1013566736
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  34542)
Enumeration Date2019-09-05
Last Update Date2019-09-05
Business Address
MATTHEW ALLAN BERRY
14677 MERRILL AVE
FONTANA, CA 92335
Phone number: 951-643-2335
Mailing Address
MATTHEW ALLAN BERRY
9800 MESA LINDA ST APT 178
HESPERIA, CA 92345-0105
Phone number: 909-539-3040