LAURA MIRIAM NUSSDORF

JACKSON, MS
NPI1629828132
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207W00000X Ophthalmology
(Licence: MS  T-5238)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
(Licence: MS  T-5238)
Enumeration Date2024-03-26
Last Update Date2024-07-15
Business Address
LAURA MIRIAM NUSSDORF
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-1000
Mailing Address
LAURA MIRIAM NUSSDORF
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-1000