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Angela Berry

NPI 1568195238 · on the registry since 2022

Practice

Address
1349 Mcnutt St
Herculaneum, MO 63048
Phone
(636) 638-2203
Fax
(636) 638-2206

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri