Individual
ISHMAEL TOMAS FRANCISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
423 N YOUNG ST, CORINTH, MS 38834-5154
(662) 603-5904
Mailing address
423 N YOUNG ST, CORINTH, MS 38834-5154
(662) 603-5904
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
905561
MS
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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