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Individual

GLENDA FAE MILAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6229 MISSISSIPPI 305, STE A#168, OLIVE BRANCH, MS 38654
(662) 550-1213
Mailing address
2546 SHELBURNE LN E, SOUTHAVEN, MS 38672-6330
(662) 550-1213

Taxonomy

Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
MS

Other

Enumeration date
10/15/2025
Last updated
10/15/2025
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