Individual
JUDITH ANN GOVATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
920 BOONE ST, TUPELO, MS 38804-5908
(662) 844-3531
(662) 844-1757
Mailing address
107 W SHORE DR, SALTILLO, MS 38866-5746
(662) 840-4451
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R859815
MS
Other
Enumeration date
02/28/2008
Last updated
02/28/2008
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