Individual
ORIANNA SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 COUNTY ROAD 345, TAYLOR, MS 38673-4550
(662) 715-0616
Mailing address
25 COUNTY ROAD 345, TAYLOR, MS 38673-4550
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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