Individual
TEARRANY WARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3418 HARDY ST APT 30, HATTIESBURG, MS 39402-1510
(228) 224-8821
Mailing address
3418 HARDY ST APT 30, HATTIESBURG, MS 39402-1510
(228) 224-8821
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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