Individual
SHEILA YVONNE MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117 WINDY LAKE CIR, VICKSBURG, MS 39183-8747
(601) 720-8140
Mailing address
117 WINDY LAKE CIR, VICKSBURG, MS 39183-8747
(601) 720-8140
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
R785004
MS
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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