Individual
EMILY PERNICIARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 WOOD PL, BAY SAINT LOUIS, MS 39520-2836
(228) 216-7023
Mailing address
5 WOOD PL, BAY SAINT LOUIS, MS 39520-2836
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/08/2025
Last updated
10/08/2025
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