Individual
SYLVIA C BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
813 UNION STREET, GRENADA, MS 38901
(662) 809-5737
Mailing address
813 UNION STREET, GRENADA, MS 38901
(662) 809-5737
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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