TABATHA FANT

GRENADA, MS
NPI1578140570
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  904539)
Enumeration Date2021-03-25
Last Update Date2023-03-16
Business Address
TABATHA FANT FNP
1300 SUNSET DR STE A
GRENADA, MS 38901-4081
Phone number: 662-226-1646
Mailing Address
TABATHA FANT FNP
1300 SUNSET DR STE A
GRENADA, MS 38901-4081
Phone number: 662-226-1646
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