SOTHIDA BERRY

DEKALB, IL
NPI1144661380
Former NameSOTHIDA SURACHAICHARN
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  93131)
Enumeration Date2013-07-16
Last Update Date2013-07-16
Business Address
-- SOTHIDA BERRY CRNA
1 KISH HOSPITAL DR
DEKALB, IL 60115-9602
Phone number: 815-936-4029
Mailing Address
-- SOTHIDA BERRY CRNA
1135 S DELANO CT E APT 427
CHICAGO, IL 60605-3457
Phone number: 219-669-9505
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