Individual
MRS. PATRICIA ANN WALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3901 HARDY ST, SUITE 100, HATTIESBURG, MS 39402-1636
(601) 261-5995
(601) 261-5335
Mailing address
PO BOX 17167, HATTIESBURG, MS 39404-7167
(601) 261-5995
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA124
MS
Other
Enumeration date
07/08/2011
Last updated
07/08/2011
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