Individual
LAURA CIALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1497 CANTON MART RD, JACKSON, MS 39211-5435
(601) 956-2421
Mailing address
1497 CANTON MAR RD, JACKSON, MS 39211
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E11759
MS
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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