| Desarae Cantrell, | |
|
635 W Willie Morris Pkwy, Yazoo City, MS 39194-7702 | |
| (662) 746-5712 | |
| Not Available |
| Full Name | Desarae Cantrell |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 635 W Willie Morris Pkwy, Yazoo City, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932864402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 336497 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Desarae Cantrell, 635 W Willie Morris Pkwy, Yazoo City, MS 39194-7702 Ph: (662) 746-5712 | Desarae Cantrell, 635 W Willie Morris Pkwy, Yazoo City, MS 39194-7702 Ph: (662) 746-5712 |
News Archive
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› Verified 4 days ago
Summer Brokman, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 635 W Willie Morris Pkwy, Yazoo City, MS 39194 Phone: 662-746-5712 |