BRENDA WAKHAM

GULFPORT, MS
NPI1437267119
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MS  R702285)
Enumeration Date2006-08-25
Last Update Date2019-01-14
Business Address
BRENDA WAKHAM CFNP
4500 13TH ST
GULFPORT, MS 39501-2569
Phone number: 228-867-4000
Mailing Address
BRENDA WAKHAM CFNP
4500 13TH ST
GULFPORT, MS 39501-2569
Phone number: 228-867-4000
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