DEMETRIUS COOK

OLIVE BRANCH, MS
NPI1003482993
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TN  29684)
Enumeration Date2021-06-01
Last Update Date2021-06-01
Business Address
DEMETRIUS COOK
9351 JOE LYON BLVD
OLIVE BRANCH, MS 38654-6506
Phone number: 901-314-3938
Mailing Address
DEMETRIUS COOK
9351 JOE LYON BLVD
OLIVE BRANCH, MS 38654-6506
Phone number:
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