MONTOYAE C LEAVY

BROOKHAVEN, MS
NPI1003392416
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MS  902224)
Enumeration Date2018-07-18
Last Update Date2018-07-18
Business Address
Miss MONTOYAE C LEAVY NP
747 INDUSTRIAL PARK RD NE
BROOKHAVEN, MS 39601-2065
Phone number: 601-833-4111
Mailing Address
Miss MONTOYAE C LEAVY NP
122A RICHMOND TRL NE
BROOKHAVEN, MS 39601-4077
Phone number: 601-400-1375