Irene Elsie Brock, REGISTERED NURSE
NPI #1659968360 in Lucedale, Mississippi
Provider Information
- NPI Number
- 1659968360
- Entity Type
- Individual
- Name
- Irene Elsie Brock, REGISTERED NURSE
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse - Hemodialysis
- Credential
- REGISTERED NURSE
- Enumeration Date
- Dec 29, 2020
- Last Updated
- Dec 29, 2020
Practice Location
- Address
- 137 BROCK RD
- City
- Lucedale
- State
- Mississippi
- ZIP Code
- 39452-4665
- Phone
- (601) 508-3435
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Hemodialysis — Hemodialysis |
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