Individual
PAMELA SUE EZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
920 CEDAR LAKE RD STE C, BILOXI, MS 39532-2107
(228) 396-5271
Mailing address
7601 CLAMSHELL AVE, OCEAN SPRINGS, MS 39564-7695
(228) 365-4369
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0565
MS
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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