Individual
MRS. ALEZA MARIE BOYETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5192 OLD HIGHWAY 11, HATTIESBURG, MS 39402-6222
(601) 268-0929
Mailing address
133 MAYFAIR RD, HATTIESBURG, MS 39402-1464
(601) 264-0929
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R876535
MS
Other
Enumeration date
02/14/2011
Last updated
02/14/2011
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