Individual
CARYL JEAN MOULDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5503 MARVIN SHIELDS BLVD, GULFPORT, MS 39501-9007
(228) 326-3031
Mailing address
5503 MARVIN SHIELDS BLVD, GULFPORT, MS 39501-9007
(228) 326-3031
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
R869685
MS
Other
Enumeration date
12/12/2007
Last updated
12/12/2007
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