Individual
BRANDI PACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
312 S MAIN ST, COLUMBIA, MS 39429-2961
(601) 466-3353
Mailing address
312 S MAIN ST, COLUMBIA, MS 39429-2961
(601) 466-3353
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
338376
MS
Other
Enumeration date
03/13/2021
Last updated
03/13/2021
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