Individual
ANNETTA MERIDETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16657 HIGHWAY 16 E, DE KALB, MS 39328-5511
(601) 480-6227
Mailing address
16657 HIGHWAY 16 E, DE KALB, MS 39328-5511
(601) 480-6227
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1881
MS
Other
Enumeration date
02/27/2013
Last updated
02/27/2013
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