Individual
MICHELLE ANN HAMMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MLT
Contact information
Practice address
405 W ADAMS ST, KOSCIUSKO, MS 39090-3617
(662) 289-2880
Mailing address
12204 HIGHWAY 19 S, KOSCIUSKO, MS 39090-5524
(601) 562-9085
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
25339287
MS
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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