Individual
DARRELL FREDRICK BOARDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
5903 RIDGEWOOD RD, JACKSON, MS 39211-3700
(601) 899-3180
Mailing address
103 SPRING CREEK CV, RIDGELAND, MS 39157-5177
(601) 506-4958
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
RCP-1922
MS
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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