Individual
JOSEPH LOUIS OMEDEO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
423 CENTRAL AVE, COLDWATER, MS 38618-3915
(662) 622-7011
Mailing address
423 CENTRAL AVE, COLDWATER, MS 38618-3915
(662) 622-7011
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903594
MS
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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