LEAVERN GUY

PICAYUNE, MS
NPI1912009903
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy226300000X Kinesiotherapist
(Licence: IL  1720)
Enumeration Date2006-09-01
Last Update Date2009-01-08
Business Address
Mr. LEAVERN GUY R.K.T.
925 CLOVER CIR
PICAYUNE, MS 39466-5436
Phone number: 601-273-1070
Mailing Address
Mr. LEAVERN GUY R.K.T.
925 CLOVER CIR
PICAYUNE, MS 39466-5436
Phone number: 601-273-1070