Individual
BENDA TRUVILLION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2128 PARK DR. EXT., MCCOMB, MS 39648
(601) 249-7006
Mailing address
2128 PARK DR. EXT., MCCOMB, MS 39648
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
MS
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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