Individual
MRS. CHASITY L BIRDOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5128 COUNTY ROAD 25, MINTER CITY, MS 38944-2602
(662) 392-4891
Mailing address
5128 COUNTY ROAD 25, MINTER CITY, MS 38944-2602
(662) 392-4891
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
334636
MS
Other
Enumeration date
01/10/2022
Last updated
01/12/2022
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