SearchMississippi101YM0800X

Latesha Short

NPI 1639726474 · on the registry since 2019

Practice

Address
2434 S Eason Blvd # 1
Tupelo, MS 38804
Phone
(662) 640-4595
Fax
(662) 680-6416

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Sex
Female
Record last updated
2019-08-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi