Individual
MRS. KRISTINA STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2012 W 2ND ST, #159, LONG BEACH, MS 39560-5553
(228) 206-7200
Mailing address
2012 W SECOND ST, #159, LONG BEACH, MS 39560-5553
(228) 206-7200
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P326390
MS
Other
Enumeration date
08/08/2012
Last updated
08/08/2012
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