Individual
MERCEDES TENAQUA QUENELL BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
71 LOGARAS CIRCLE, PURVIS, MS 39475
(601) 382-4391
Mailing address
71 LOGARAS CIRCLE, PURVIS, MS 39475
(601) 382-4391
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA6153
MS
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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