Individual
ANDREW YIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2479 CRESSANT ST, TUPELO, MS 38801-3060
(662) 231-5963
Mailing address
2479 CRESSANT ST, TUPELO, MS 38801-3060
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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