Individual
MRS. CANDACE MIYORI MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4280 HARLOW BLVD, GREENVILLE, MS 38701-6604
(662) 390-4920
Mailing address
4280 HARLOW BLVD, GREENVILLE, MS 38701-6604
(662) 390-4920
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2004
MS
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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