Individual
PATSY BUSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3444 WISCONSIN AVE, VICKSBURG, MS 39180-5331
(601) 638-0031
Mailing address
3444 WISCONSIN AVE., VICKSBURG, MS 39180
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P281935
MS
Other
Enumeration date
09/28/2010
Last updated
09/28/2010
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