Individual
MAKIETA BYRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
842 HOWARD RD NE, BROOKHAVEN, MS 39601-2241
(601) 835-6088
Mailing address
842 HOWARD RD NE, BROOKHAVEN, MS 39601-2241
(601) 835-6088
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MS
Other
Enumeration date
07/09/2022
Last updated
07/09/2022
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