Victory Wellness Center, LLC
NPI #1255662516 in Biloxi, Mississippi
Provider Information
- NPI Number
- 1255662516
- Entity Type
- Organization
- Organization Name
- Victory Wellness Center, LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jan 26, 2010
- Last Updated
- Jan 26, 2010
Practice Location
- Address
- 123 CAILLAVET ST
- City
- Biloxi
- State
- Mississippi
- ZIP Code
- 39530-4101
- Phone
- (228) 386-7487
Authorized Official
- Name
- SUPORIOR R HARRIS, CRNP
- Title
- C.E.O./ CERTIFIED NURSE PRACTITIONE
- Phone
- (251) 610-2644
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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