Individual
ANNA W OBERHOUSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1020 CAROLINE DR, TERRY, MS 39170-5026
(601) 415-9533
(601) 415-9533
Mailing address
1020 CAROLINE DR, TERRY, MS 39170-5026
(601) 415-9533
(601) 415-9533
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/19/2012
Last updated
05/19/2012
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