Individual
NATHANIEL BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
513 6TH ST, CLARKSDALE, MS 38614-5208
(662) 645-9487
Mailing address
PO BOX 580, HORN LAKE, MS 38637-0580
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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