Individual
TOTSSETA HEARN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
290 ALMA KIRK RD, DE KALB, MS 39328-8144
(601) 575-8932
(601) 743-4173
Mailing address
290 ALMA KIRK RD, DE KALB, MS 39328-8144
(601) 575-8932
(601) 743-4173
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
802061140
MS
Other
Enumeration date
06/16/2014
Last updated
06/16/2014
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