Individual
JENNIFER WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
206 MARYLAND AVE, MCCOMB, MS 39648-3926
(601) 250-4815
(601) 250-6859
Mailing address
2916 HICKORY LITTLE ROCK RD, HICKORY, MS 39332-3144
(601) 250-4815
(601) 250-6859
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA3188
MS
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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