DIBERVILLE MEDICAL SPA

DIBERVILLE, MS
NPI1861766289
Entity TypeOrganization
Authorized ContactRONNIE ALI
President
228-223-1927
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
Enumeration Date2012-03-02
Last Update Date2012-03-02
Business Address
DIBERVILLE MEDICAL SPA
3661 SANGANI BLVD SUITE C
DIBERVILLE, MS 39540-8706
Phone number: 228-223-1927
Mailing Address
DIBERVILLE MEDICAL SPA
PO BOX 1248
OCEAN SPRINGS, MS 39566-1248
Phone number: 228-223-1927
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