MS. Patrice Latrell Edwards

NPI #1689904922 in Hattiesburg, Mississippi

Provider Information

NPI Number: 1689904922
Entity Type: Individual
Name: MS. Patrice Latrell Edwards
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician, Other
Enumeration Date: Jan 8, 2010
Last Updated: Jan 13, 2010

Practice Location

Address: 2300 LINCOLN RD APT 5
City: Hattiesburg
State: Mississippi
ZIP Code: 39402-3136
Phone: (601) 329-9850

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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