Individual
MRS. CHITRA MAE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3713 JUNIPER ST, MOSS POINT, MS 39563-6029
(228) 297-6488
Mailing address
3537 DENNY AVE # 347, PASCAGOULA, MS 39581-5416
(228) 297-6488
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
1157148
MS
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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