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Individual

MRS. SIMONE WINDHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
513 19TH AVE, MERIDIAN, MS 39301-5259
(601) 480-9094
Mailing address
2616 EDGEWOOD DR, MERIDIAN, MS 39307-4039
(601) 480-9094

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
246RP1900X
Phlebotomy Technician

Other

Enumeration date
09/30/2024
Last updated
02/07/2025
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