SHA WITWORTH

VICKSBURG, MS
NPI1942214325
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: MS  R870251)
Enumeration Date2006-07-28
Last Update Date2007-07-08
Business Address
-- SHA WITWORTH RN
3444 WISCONSIN AVE
VICKSBURG, MS 39180-5331
Phone number: 601-638-0031
Mailing Address
-- SHA WITWORTH RN
3444 WISCONSIN AVE
VICKSBURG, MS 39180-5331
Phone number: 601-638-0031
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