NPI 1356626881

Angela Louise Dilworth

Practitioner Medical Technologist Jackson, MS

Practice location

Address: 969 Lakeland Dr, Jackson, MS 39216-4606
Phone: (601) 200-6750
Mailing address: 1460 Westbrook Rd, Jackson, MS 39211-4730

Registered specialties

Medical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246QM0706X Licence 101727 (MS)

Other Specialist/Technologist, Pathology providers in Mississippi →

Registry record

NPI: 1356626881
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Oct 2011
Record last updated: 16 Oct 2011

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.