Individual
KORNESHIA COLLIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4419 SWEET FLAG LOOP, SOUTHAVEN, MS 38671-5391
(601) 520-1799
Mailing address
4419 SWEET FLAG LOOP, SOUTHAVEN, MS 38671-5391
(601) 520-1799
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
21973
TN
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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