Individual
TINA MARIE GUNTHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 INTERCHANGE DR, FULTON, MS 38843-6011
(662) 862-9040
Mailing address
204 INTERCHANGE DR, FULTON, MS 38843-6011
(662) 862-9040
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
RCP3605
MS
Other
Enumeration date
08/21/2008
Last updated
08/21/2008
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