Individual
MIRANDA LAYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., ATC
Contact information
Practice address
1500 PEACHTREE ST, JACKSON, MS 39202-1754
(601) 965-7003
Mailing address
723 HARTWOOD CV, BRANDON, MS 39042-6009
(217) 962-1740
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT055
MS
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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