Individual
ALICE LURETHA THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
70 GRIFFIN RD, BENTONIA, MS 39040-9419
(662) 571-8361
Mailing address
70 GRIFFIN RD, BENTONIA, MS 39040-9419
(662) 571-8361
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
337476
MS
Other
Enumeration date
05/04/2022
Last updated
05/04/2022
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