ANDREA BALCONIS
Medical Laboratory at Pass Rd, Gulfport, MS

License number
Mississippi 25D1086897
Category
Medical Laboratory
Type
Clinical Medical Laboratory
Owner
Name: ANDREA BALCONIS
Title: OWNER
Phone: (228) 383-2147
Address
Address
200 Pass Rd SUITE 3, Gulfport, MS 39507
National Provider ID: 1467617712
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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