Individual
JOLANDRIA NEWMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8186 S PARK CIR APT D, SOUTHAVEN, MS 38671-3750
(901) 494-6134
Mailing address
8186 S PARK CIR APT D, SOUTHAVEN, MS 38671-3750
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
TN
Other
Enumeration date
04/25/2019
Last updated
04/25/2019
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