Individual
MARY RECTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3444 WISCONSIN AVE, VICKSBURG, MS 39180-5331
(601) 638-0031
Mailing address
3444 WISCONSIN AVE, VICKSBURG, MS 39180-5331
(601) 638-0031
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P202061
MS
Other
Enumeration date
07/11/2014
Last updated
07/11/2014
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