# MOMMIEANDME3D4D

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639869092
- **Authorized official:** SHADELL N CATER RDMS, RVT (DIAGNOSTIC MEDICAL SONOGRAPHER)
- **Authorized official phone:** (213) 359-8993

## Contact information

- **Practice address:** 2733 FLORA LEE DR S, NESBIT, MS 38651-7008
- **Practice address phone:** (213) 359-8993
- **Mailing address:** 2733 FLORA LEE DR S, NESBIT, MS 38651-7008
- **Mailing address phone:** (213) 359-8993

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085U0001X | Diagnostic Ultrasound Physician | — | NULL | Yes |
| 2085U0001X | Diagnostic Ultrasound Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/10/2023
- **Last updated:** 05/10/2023