Individual
SHANIJUA E BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
707 ANN ST, BROOKHAVEN, MS 39601-2354
(601) 695-4139
Mailing address
707 ANN ST, BROOKHAVEN, MS 39601-2354
(601) 695-4139
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/31/2021
Last updated
07/31/2021
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