JARVIS DWAYNE BERRY

PHOENIX, AZ
NPI1669004727
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X Community/Behavioral Health
(Licence: AZ  bh5698)
Enumeration Date2020-02-06
Last Update Date2020-12-21
Business Address
JARVIS DWAYNE BERRY
6150 W CHEERY LYNN RD
PHOENIX, AZ 85033-5833
Phone number: 623-440-8989
Mailing Address
JARVIS DWAYNE BERRY
PO BOX 6751
GOODYEAR, AZ 85338-0630
Phone number: 623-440-8989
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