Individual
LASHONDA CARMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2443 FORTUNE RD NE, BROOKHAVEN, MS 39601-2273
(601) 867-1292
Mailing address
2443 FORTUNE RD NE, BROOKHAVEN, MS 39601-2273
(601) 867-1292
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
891892
MS
Other
Enumeration date
11/23/2019
Last updated
11/23/2019
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