Individual
FALASHA REED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1668 W PEACE ST, CANTON, MS 39046-5332
(601) 859-5213
Mailing address
1668 W PEACE ST, CANTON, MS 39046-5332
(601) 859-5213
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
317615
MS
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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