MANIVANH A PRUDHOMME

VICKSBURG, MS
NPI1144831140
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  904068)
Enumeration Date2020-08-12
Last Update Date2021-07-13
Business Address
MANIVANH A PRUDHOMME MSN, FNP-BC, AGACNP-
2011 HIGHWAY 61 N
VICKSBURG, MS 39183-3918
Phone number: 014-562-2776
Mailing Address
MANIVANH A PRUDHOMME MSN, FNP-BC, AGACNP-
2011 HIGHWAY 61 N
VICKSBURG, MS 39183
Phone number: 601-456-2277
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