Individual
MARLANA ANGEL CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
302 COURTHOUSE RD, GULFPORT, MS 39507-1890
(228) 897-7465
Mailing address
860 E RIVER PL STE 100, JACKSON, MS 39202-3442
(228) 897-7465
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/28/2018
Last updated
09/28/2018
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