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Individual

JANE MATTINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
2781 CT SWITZER SR DRIVE, SUITE 402, BILOXI, MS 39531-2637
(228) 575-2636
Mailing address
1456 CHAMPLIN CIR, GULFPORT, MS 39507-4208

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R883056
MS

Other

Enumeration date
09/10/2015
Last updated
09/10/2015
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