Individual
LISA ANN BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2617 RUE PALAFOX, BILOXI, MS 39531-3716
(228) 424-6852
Mailing address
2617 RUE PALAFOX, BILOXI, MS 39531-3716
(228) 424-6852
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
628369
CA
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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