Individual
SANCHASITY NICOLE KIMBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
513B N HAYDEN ST, BELZONI, MS 39038-3615
(662) 826-7744
Mailing address
114 PIPER ST, BELZONI, MS 39038-3904
(662) 836-7744
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
—
MS
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
MS
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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