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Individual

JESSYKA JENIECE WILLIAMS BELLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
720 N LEHMBERG RD STE 3, COLUMBUS, MS 39702-4312
(800) 817-5101
Mailing address
606 21ST AVE N, COLUMBUS, MS 39701-2334
(662) 574-6652

Taxonomy

Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
MS
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
25D2270447
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05
MS
Enumeration date
11/07/2022
Last updated
11/07/2022
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