Individual
TONYA HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
106 MIZE ST, ELLISVILLE, MS 39437-2071
(601) 800-8564
Mailing address
PO BOX 18679, HATTIESBURG, MS 39404-8679
(601) 705-1901
(601) 705-1952
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
317608
MS
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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