DARVIN RICKEY TANNER

LUCEDALE, MS
NPI1578278529
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy3747A0650X Technician, Attendant Care Provider
Enumeration Date2023-01-13
Last Update Date2023-01-13
Business Address
DARVIN RICKEY TANNER RN
126 WALT TANNER RD
LUCEDALE, MS 39452-4128
Phone number: 601-508-5487
Mailing Address
DARVIN RICKEY TANNER RN
126 WALT TANNER RD
LUCEDALE, MS 39452-4128
Phone number: 601-508-5487
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