MARSHA ANN TANNER

MIZE, MS
NPI1679821417
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy291U00000X Clinical Medical Laboratory
(Licence:   211278)
Additional Taxonomies246RM2200X Technician, Pathology Medical Laboratory
(Licence: LA  CLP.201475-GEN)
291U00000X Clinical Medical Laboratory
(Licence:   MLT 43092)
Enumeration Date2012-08-28
Last Update Date2012-11-14
Business Address
MS. MARSHA ANN TANNER MT(AMT)
452 SCR 60
MIZE, MS 39116-5350
Phone number: 601-678-7784
Mailing Address
MS. MARSHA ANN TANNER MT(AMT)
452 SCR 60
MIZE, MS 39116-5350
Phone number: 601-678-7784