Individual
TIMOTHY JAMES CUEVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 HIGHWAY 11 S, PICAYUNE, MS 39466-5382
(601) 798-4771
(601) 798-6130
Mailing address
28180 HIGHWAY 603, PERKINSTON, MS 39573-3791
(228) 255-3828
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E06914
MS
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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