IMMUNOLASE LLC
Ambulatory Health at Kirkwood St, Greenbrier Park, MS

License number
Mississippi API70194
Category
Osteopathic Medicine
Type
Allergy
License number
Mississippi 19D2105974
Category
Ambulatory Health
Type
Multi-Specialty
Owner
Name: BRENNEN D LARK
Title: BILLING SPECIALIST
Phone: (504) 556-2201
Address
Address
137 Kirkwood St STE B, Greenbrier Park, MS 39466
National Provider ID: 1952837411
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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