Individual
PAMELA C HIGGINBOTTOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6645 MAYFAIR CV, HORN LAKE, MS 38637-1655
(662) 519-3065
Mailing address
6645 MAYFAIR CV, HORN LAKE, MS 38637-1655
(662) 519-3065
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
—
MS
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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