NPI 1275361891

Victoria Canada

Practitioner Driver Jackson, MS

Practice location

Address: 1030 Canada Dr, Jackson, MS 39213-9401
Phone: (601) 503-0080

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1275361891
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jul 2024
Record last updated: 24 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.