Individual
DESMOND WAYNE HODA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4308 PARK TEN DR, DIAMONDHEAD, MS 39525-3222
(228) 255-5328
(228) 255-0026
Mailing address
4308 PARK TEN DR, P.O. BOX 6188, DIAMONDHEAD, MS 39525-3222
(228) 255-5328
(228) 255-0026
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
887
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115761
—
MS
Enumeration date
11/13/2006
Last updated
07/08/2007
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