Individual
VICTORIA ST PHILIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 FISHER ST, BILOXI, MS 39534-2508
(228) 376-3769
Mailing address
301 FISHER ST, BILOXI, MS 39534-2508
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
908377
MS
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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