Individual
TRYNEAL ADDISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
440 E PASS RD STE C, GULFPORT, MS 39507-3267
(228) 375-2369
Mailing address
440 E PASS RD STE C, GULFPORT, MS 39507-3267
(228) 357-2369
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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