DESHAUNTRA GREEN

JACKSON, MS
NPI1427894815
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: MS  T-6000)
Enumeration Date2024-07-04
Last Update Date2026-07-02
Business Address
DESHAUNTRA GREEN
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-5012
Mailing Address
DESHAUNTRA GREEN
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-5012
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