BRIAN ROSS MASKEW

HATTIESBURG, MS
NPI1699873893
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MS  at0378)
Enumeration Date2006-09-20
Last Update Date2007-07-08
Business Address
-- BRIAN ROSS MASKEW
4124 W 4TH ST APT 1606
HATTIESBURG, MS 39401-5710
Phone number: 601-264-2114
Mailing Address
-- BRIAN ROSS MASKEW
4124 W 4TH ST APT 1606
HATTIESBURG, MS 39401-5710
Phone number: 601-264-2114