Individual
TIANA RULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
518 KEYSTONE DR, OXFORD, MS 38655-0239
(662) 303-4067
Mailing address
518 KEYSTONE DR, OXFORD, MS 38655-0239
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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