Organization
CARING HANDS CHILDREN'S CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEONTRANESE TREVA TAYLOR CFNP (OWNER)
(601) 754-0772
Entity
Organization
Contact information
Practice address
314 MAIN STREET, SUITE D, MONTICELLO, MS 39654
(601) 754-0772
Mailing address
PO BOX 1400, MONTICELLO, MS 39654-1400
(601) 754-0772
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
R865884
MS
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
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