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Organization
CARING HANDS CHILDREN'S CLINIC, LLC
Active
Organization
CARING HANDS CHILDREN'S CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEONTRANESE TREVA TAYLOR CFNP (OWNER)
(601) 754-0772
Entity
Organization
Contact information
Practice address
314 MAIN STREET, SUITE D, MONTICELLO, MS 39654
(601) 754-0772
Mailing address
PO BOX 1400, MONTICELLO, MS 39654-1400
(601) 754-0772
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
R865884
MS
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
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