MYRANDA ARCHIE

JACKSON, MS
NPI1225872815
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  906731)
Enumeration Date2024-06-19
Last Update Date2024-06-19
Business Address
MYRANDA ARCHIE
5604 OLD CANTON RD
JACKSON, MS 39211-4217
Phone number: 601-991-1044
Mailing Address
MYRANDA ARCHIE
5604 OLD CANTON RD
JACKSON, MS 39211-4217
Phone number: 601-991-1044
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