Individual
LORRAL ALEXIS KANAUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
426 WALKER CIR, OXFORD, MS 38655-4490
(217) 430-5961
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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