Individual
NICHOLE CALEB ANASTASIA GRICRERIA SWITZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12007 LAMEY BRIDGE RD, DIBERVILLE, MS 39540-8907
(228) 392-2388
(228) 392-6857
Mailing address
1203 MARKET ST APT 401, PASCAGOULA, MS 39567-6654
(601) 754-5032
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PT-227404
MS
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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