| NPI | 1477617272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE F NAQUIN Nurse Practitioner 662-328-2476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS R590029) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2008-03-12 |