Individual
TORY FAYARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12024 LAMEY BRIDGE RD, DIBERVILLE, MS 39540-8906
(228) 380-3533
Mailing address
12024 LAMEY BRIDGE RD, DIBERVILLE, MS 39540-8906
(228) 380-3533
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
889712
MS
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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