SearchMississippi363LF0000X

Deliondra Archie

NPI 1720513583 · on the registry since 2017 · sole proprietor

Practice

Address
181 Stull Rd
Brandon, MS 39047
Phone
(160) 150-3059

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-04-28

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