Individual
HALEY RENEE VANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
214 E MAIN ST, SENATOBIA, MS 38668-2140
(662) 560-0602
Mailing address
214 E MAIN ST, SENATOBIA, MS 38668-2140
(662) 560-0602
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0862
MS
Other
Enumeration date
03/20/2019
Last updated
03/20/2019
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