WANDA JANE DEDEAUX

PASCAGOULA, MS
NPI1639171234
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: MS  R744414)
Enumeration Date2005-08-12
Last Update Date2007-07-08
Business Address
WANDA JANE DEDEAUX FNP
1820 OLD MOBILE AVE
PASCAGOULA, MS 39567-4412
Phone number: 228-696-0230
Mailing Address
WANDA JANE DEDEAUX FNP
4622 EMERSON ST
PASCAGOULA, MS 39581-4713
Phone number: 228-623-5632