TANISHA MARTIN

SOUTHAVEN, MS
NPI1649753161
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MS  902907)
Enumeration Date2018-09-11
Last Update Date2018-09-11
Business Address
TANISHA MARTIN
8626 AIRWAYS BLVD
SOUTHAVEN, MS 38671-2603
Phone number: 662-832-0302
Mailing Address
TANISHA MARTIN
108 BAILEY PATRICIA AVE
OXFORD, MS 38655-7336
Phone number: 662-832-0302
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