Jevorius K Prince

NPI #1336886936 in De Kalb, Mississippi

Provider Information

NPI Number: 1336886936
Entity Type: Individual
Name: Jevorius K Prince
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: May 16, 2022
Last Updated: May 16, 2022

Practice Location

Address: 150 SCHOOL HOUSE LN
City: De Kalb
State: Mississippi
ZIP Code: 39328-9469
Phone: (601) 479-3399

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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