Individual
MRS. PAULINE D SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33 HOLMES STREET, LUCEDALE, MS 39452
(601) 508-0532
Mailing address
33 HOLMES STREET, LUCEDALE, MS 39452
(601) 508-0532
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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