MS. Vickie Rochelle Mack
NPI #1912088055 in Jackson, Mississippi
Provider Information
- NPI Number
- 1912088055
- Entity Type
- Individual
- Name
- MS. Vickie Rochelle Mack
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Oct 17, 2006
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 811 ALVAREDO ST
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39204-5317
- Phone
- (601) 372-8941
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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