Individual
ALYSSA MABRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
106 E MAIN ST, SENATOBIA, MS 38668-2138
(662) 562-5500
Mailing address
106 E MAIN ST, SENATOBIA, MS 38668-2138
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
985
MS
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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