Organization
MONNICA J REYES, DBA GAUTIER MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONNICA REYES NP (OWNER)
(251) 591-8688
Entity
Organization
Contact information
Practice address
3300 LADNIER RD, GAUTIER, MS 39553-5909
(251) 591-8688
Mailing address
PO BOX 174, GAUTIER, MS 39553-0174
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R852805
MS
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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