AUDREY DANG
Individual Provider (NPI-1)
Active
Provider Information
- NPI Number
1235557000- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 2809 DENNY AVE, PASCAGOULA, MS, 395815301
- Phone
- (228) 809-5251
- Fax
- (228) 809-5255
Specialties & Taxonomies
Unknown
Primary License: MS #37138
Unknown
License: LA #313034