Individual
MRS. STACY MICHELLE REED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIR LOSS SPECIALIST
Contact information
Practice address
121 LONNIE JENKINS DR, PEARL, MS 39208-3520
(769) 234-1513
Mailing address
724 HILLSBORO ST, FOREST, MS 39074-3428
(769) 234-1513
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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