Individual
JAMES B RAIFORD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS OTR/L
Contact information
Practice address
2319 HIGHWAY 145, SALTILLO, MS 38866
(662) 869-9980
(662) 869-9970
Mailing address
PO BOX 420, SALTILLO, MS 38866
(662) 869-9980
(662) 869-9970
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT2246
MS
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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