BRENDA L MA

JACKSON, MS
NPI1144883703
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: AR  E-17454)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-04-19
Last Update Date2024-07-12
Business Address
BRENDA L MA DO
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-815-1292
Mailing Address
BRENDA L MA DO
4301 W MARKHAM ST # 783
LITTLE ROCK, AR 72205-7101
Phone number: 501-686-8000