Individual
PATRICIA DIANNE MORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 RUGER RD, PETAL, MS 39465-5800
(601) 447-8048
(228) 226-9723
Mailing address
11 RUGER RD, PETAL, MS 39465-5800
(601) 447-8048
(228) 226-9723
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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