SearchMississippi374J00000X

Joni Gallman, CBD, PPD

NPI 1659802080 · on the registry since 2017 · sole proprietor

Practice

Address
309 Ridge Park Dr
Raymond, MS 39154
Phone
(662) 836-9848

Registry record

Primary taxonomy
374J00000X
374J00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-03-27

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