LACRISTA MONTGOMERY

TUPELO, MS
NPI1710505649
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1744P3200X Specialist, Prosthetics Case Management
(Licence: MS  0059659)
Enumeration Date2020-07-07
Last Update Date2020-07-07
Business Address
LACRISTA MONTGOMERY Specialust
811 GARFIELD ST
TUPELO, MS 38801-5748
Phone number: 662-422-6044
Mailing Address
LACRISTA MONTGOMERY Specialust
142 WOODGREEN RD APT 23
PLANTERSVILLE, MS 38862-9709
Phone number:
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