NPI 1295203602

Joanetta Marie Williams, COSMETOLOGIST

Practitioner Prosthetist Hattiesburg, MS

Practice location

Address: 806 S 28th Ave, Hattiesburg, MS 39402-2601
Phone: (601) 606-7652
Mailing address: PO Box 18956, Hattiesburg, MS 39404-8956

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 00-12147 (MS)

Other Prosthetist providers in Mississippi →

Registry record

NPI: 1295203602
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Nov 2018
Record last updated: 5 Nov 2018

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.