Individual
TOMIKA MARIE DEDEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1990 POPPS FERRY RD, BILOXI, MS 39532-2015
(228) 383-5119
Mailing address
1990 POPPS FERRY RD, BILOXI, MS 39532-2015
(228) 383-5119
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
903126
MS
363LF0000X
Family Nurse Practitioner
203427
LA
363LF0000X
Family Nurse Practitioner
Primary
903126
MS
Other
Enumeration date
02/06/2019
Last updated
11/17/2023
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