Individual
MRS. MICHELLE RENE AYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
618 MARYLAND AVE, TYLERTOWN, MS 39667-2722
(850) 723-5478
Mailing address
618 MARYLAND AVE, TYLERTOWN, MS 39667-2722
(850) 723-5478
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
12/08/2019
Last updated
12/08/2019
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