Individual
MRS. AMANDA LESHEA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 S INDUSTRIAL RD, TUPELO, MS 38801-4618
(662) 841-2476
Mailing address
130 S INDUSTRIAL RD, TUPELO, MS 38801-4618
(662) 841-2476
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
—
—
Other
Enumeration date
10/10/2022
Last updated
10/14/2022
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