Autospa-Healthy Youth Center
NPI #1063957751 in Clarksdale, Mississippi
Provider Information
- NPI Number
- 1063957751
- Entity Type
- Organization
- Organization Name
- Autospa-Healthy Youth Center
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Jan 4, 2017
- Last Updated
- Jan 4, 2017
Practice Location
- Address
- 1202 DESOTO AVE
- Address 2
- SUITE A
- City
- Clarksdale
- State
- Mississippi
- ZIP Code
- 38614
- Phone
- (662) 209-1202
Authorized Official
- Name
- GREGORY HOSKINS
- Title
- PRESIDENT
- Phone
- (662) 209-1202
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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