MIKE DOUGLAS BERRY

RICHLAND, WA
NPI1912368234
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: WA  AP60610441)
Enumeration Date2016-03-14
Last Update Date2016-03-14
Business Address
-- MIKE DOUGLAS BERRY FNP
888 SWIFT BLVD
RICHLAND, WA 99352-3514
Phone number: 509-946-4611
Mailing Address
-- MIKE DOUGLAS BERRY FNP
505 S 336TH ST STE 350
FEDERAL WAY, WA 98003-5948
Phone number: 253-733-3969