Individual
ANGELA BRATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1219 ROCKINGHAM DR, CLINTON, MS 39056-3543
(601) 937-0012
(601) 510-9242
Mailing address
1219 ROCKINGHAM DR, CLINTON, MS 39056-3543
(601) 937-0012
(601) 510-9242
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00038718
—
MS
05
—
05378211
—
MS
Enumeration date
11/12/2015
Last updated
11/12/2015
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