Individual
JOSHUA MICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
195 WOODLANDS GREEN DR, BRANDON, MS 39047-8797
(601) 842-0512
Mailing address
195 WOODLANDS GREEN DR, BRANDON, MS 39047-8797
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/14/2024
Last updated
09/14/2024
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