Individual
MELISSA LOEWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, LAT, ATC
Contact information
Practice address
7407 HIGHWAY 11, CARRIERE, MS 39426-7484
(601) 569-0687
Mailing address
496 WHITE CHAPEL RD, CARRIERE, MS 39426-9296
(601) 569-0687
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0847
MS
Other
Enumeration date
03/07/2018
Last updated
03/17/2018
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