Organization
JWD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA K YON ECT (MANAGER)
(228) 539-3356
Entity
Organization
Contact information
Practice address
15190 COMMUNITY RD, SUITE 220, GULFPORT, MS 39503-3485
(228) 539-3356
(228) 539-3318
Mailing address
15190 COMMUNITY RD, SUITE 220, GULFPORT, MS 39503-3485
(228) 539-3356
(228) 539-3318
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
01/22/2009
Last updated
01/22/2009
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