MS. Phalanecia Fondriea Kincaid, A2R7M5X9
NPI #1558972281 in Forest, Mississippi
Provider Information
- NPI Number
- 1558972281
- Entity Type
- Individual
- Name
- MS. Phalanecia Fondriea Kincaid, A2R7M5X9
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Clinical Medical Laboratory
- Credential
- A2R7M5X9
- Enumeration Date
- Aug 14, 2020
- Last Updated
- Aug 14, 2020
Practice Location
- Address
- 402 S MAIN ST
- City
- Forest
- State
- Mississippi
- ZIP Code
- 39074-4137
- Phone
- (601) 701-7753
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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