Cantrell, Desarae

Cantrell, Desarae is an individual health care provider with primary practice located at 635 W Willie Morris Pkwy , Yazoo City MS 39194-7702. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Cantrell, Desarae can be contacted via phone (662) 746-5712.

Contact Information

Primary practice address
635 W Willie Morris Pkwy Yazoo City MS 39194-7702
Phone: (662) 746-5712
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 336497 Mississippi

Profile Details

NPI number 1932864402
LBN Legal business name Cantrell, Desarae
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2021
Last updated Nov 1st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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