Individual
DEBORAH HOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2434 S EASON BLVD, TUPELO, MS 38804-6942
(662) 640-4595
Mailing address
2434 S EASON BLVD, TUPELO, MS 38804-6942
(662) 640-4595
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P321080
MS
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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