Individual
MS. SYNTERIKA SHANTA WELCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7164 HACKS CROSS RD, OLIVE BRANCH, MS 38654-4472
(662) 209-1133
Mailing address
6333 E TATE RD, COLDWATER, MS 38618-3779
(662) 209-1133
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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