SUZANNE CHANNELL

VICKSBURG, MS
NPI1376660290
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MS  AT0262)
Enumeration Date2007-03-24
Last Update Date2007-07-08
Business Address
-- SUZANNE CHANNELL ATC, LAT, MBA
104 MCAULEY DR
VICKSBURG, MS 39183-2825
Phone number: 601-883-6309
Mailing Address
-- SUZANNE CHANNELL ATC, LAT, MBA
2160 S FRONTAGE RD APT 16A
VICKSBURG, MS 39180-5285
Phone number: