Individual
MRS. WENDY HAYDEL BLUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T. PHARM D.
Contact information
Practice address
300 RAWLS DR, STE 700A, MCCOMB, MS 39648-2872
(601) 684-0355
(601) 250-0476
Mailing address
300 RAWLS DR, STE 700A, MCCOMB, MS 39648-2872
(601) 684-0355
(601) 250-0476
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1720
MS
Other
Enumeration date
05/24/2005
Last updated
03/15/2013
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