Vicenda Augustin
Student in an Organized Health Care Education/Training Program in Southaven, MS. Individual provider (NPI-1).
NPI number1811684335
StatusActive
Last updated in NPPESApr 24, 2023
Details
- NPI
- 1811684335
- Entity type
- Individual (NPI-1)
- Name
- Vicenda Augustin
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 24, 2023
- Certification date
- Apr 24, 2023
- Last updated
- Apr 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
7601 Southcrest PkwySouthaven, MS 38671-4742
Phone 662-772-4696
Mailing address
7601 Southcrest PkwySouthaven, MS 38671-4742
Phone 662-772-4696
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All 83 Student in an Organized Health Care Education/Training Program providers in Southaven · All 1,578 providers in Southaven
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