Individual
BRIANNA MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 SHELBY STREET, BEULAH, MS 38726
(662) 719-9346
Mailing address
PO BOX 94, BEULAH, MS 38726-0094
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
04/02/2019
Last updated
04/02/2019
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