IRENE ELSIE BROCK

LUCEDALE, MS
NPI1659968360
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WH0500X Registered Nurse, Hemodialysis
(Licence: MS  R850912)
Enumeration Date2020-12-29
Last Update Date2020-12-29
Business Address
IRENE ELSIE BROCK Registered Nurse
137 BROCK RD
LUCEDALE, MS 39452-4665
Phone number: 601-508-3435
Mailing Address
IRENE ELSIE BROCK Registered Nurse
137 BROCK RD
LUCEDALE, MS 39452-4665
Phone number: 601-508-3435
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