Individual
KOREATHER ZAPAATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
222 WILSON ST, PHILADELPHIA, MS 39350-3018
(601) 504-0120
Mailing address
222 WILSON ST, PHILADELPHIA, MS 39350-3018
(601) 504-0120
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A073185
MS
Other
Enumeration date
05/09/2016
Last updated
05/17/2016
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