Individual
TERAN BARNITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2434 S EASON BLVD, TUPELO, MS 38804-6942
(662) 297-6205
Mailing address
2434 S EASON BLVD, TUPELO, MS 38804-6942
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
338320
MS
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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