Individual
VINCENT HUFFSTUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 MARY ELLEN DR, RIPLEY, MS 38663-1658
(662) 587-5259
Mailing address
201 MARY ELLEN DR, RIPLEY, MS 38663-1658
(662) 587-5259
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
TA0605
MS
Other
Enumeration date
02/04/2016
Last updated
02/04/2016
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