LATISHIA RENEE-DENISE BERRY

TROY, MI
NPI1649614009
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MI  4704277302)
Enumeration Date2013-04-29
Last Update Date2018-01-11
Business Address
LATISHIA RENEE-DENISE BERRY ANP-BC
880 W LONG LAKE RD
TROY, MI 48098-4504
Phone number: 888-562-5442
Mailing Address
LATISHIA RENEE-DENISE BERRY ANP-BC
200 OCEANGATE STE 100
LONG BEACH, CA 90802-4317
Phone number: 562-499-6191
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