Dessiree Berry
Nutritionist in Windham, ME. Individual provider (NPI-1).
NPI number1164211645
StatusActive
Last updated in NPPESMay 2, 2025
Details
- NPI
- 1164211645
- Entity type
- Individual (NPI-1)
- Name
- Dessiree Berry
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 2, 2025
- Certification date
- May 1, 2025
- Last updated
- May 2, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133N00000X | Nutritionist | – | – | Yes |
Practice location
89 Tandberg TrlWindham, ME 04062-5201
Phone 207-650-7682
Mailing address
156 Raymond Hill RdRaymond, ME 04071-6142
Phone 207-650-7682
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