SHANDA TENNEIL BERRY

EL DORADO, KS
NPI1285988204
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: KS  13112826101)
Enumeration Date2012-10-29
Last Update Date2012-10-29
Business Address
Mrs. SHANDA TENNEIL BERRY RN
2365 W CENTRAL AVE
EL DORADO, KS 67042-3208
Phone number: 316-321-6036
Mailing Address
Mrs. SHANDA TENNEIL BERRY RN
520 E AUGUSTA AVE
AUGUSTA, KS 67010-2100
Phone number: 316-775-5491