NICOLE MARIE BERRY

ELIZABETHTOWN, KY
NPI1952771263
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: KY  3995)
Enumeration Date2015-09-29
Last Update Date2015-09-29
Business Address
Mrs. NICOLE MARIE BERRY RDH
108 NEW GLENDALE RD
ELIZABETHTOWN, KY 42701-1023
Phone number: 270-769-1601
Mailing Address
Mrs. NICOLE MARIE BERRY RDH
600 EDGEWATER DR
ELIZABETHTOWN, KY 42701-2122
Phone number: 270-766-7602