Individual
NIKITA HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
304 MAPLE ST, TCHULA, MS 39169-3762
(662) 739-0074
Mailing address
PO BOX 103, TCHULA, MS 39169-0103
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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