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Terrance Shawn Berry, NA0060029248

Nurse's Aide in San Antonio, TX. Individual provider (NPI-1).

NPI number1831672153
StatusActive
Last updated in NPPESSep 12, 2018

Details

NPI
1831672153
Entity type
Individual (NPI-1)
Name
Mr. Terrance Shawn Berry
Credential
NA0060029248
Sex
Male
Sole proprietor
No
Enumeration date
Sep 12, 2018
Last updated
Sep 12, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376K00000X Nurse's AideNA0060029248TXYes

Practice location

7750 Culebra Rd Apt 706
San Antonio, TX 78251-1481

Phone 601-882-7470

Mailing address

7710 W Ih 10
San Antonio, TX 78230-4711

Phone 210-377-3355

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