Detra Rouser

NPI 1629213764 - Counselor - 101Y00000X

NPI Details
NPI 1629213764
Gender Female
Enumeration Date 12/03/2008
Last Updated 12/03/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
MCCOMB MS, 39648-2711, US
Phone (601) 249-4219
Fax (601) 249-4234
Business Location
PO BOX 768
MCCOMB MS, 39649-0768, US
Phone (601) 249-4219
Fax (601) 249-4234
Taxonomy Code 101Y00000X
License State
License Number
Remove 1629213764 NPI Number

According to our database, Detra Rouser NPI is 1629213764, taxonomy code is 101Y00000X Detra Rouser physically located at 1701 White St, Mccomb MS, 39648-2711. NPI Number Detra Rouser has the Individual type.

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1629213764 NPI number is provided on an as is basis without warranty of any kind. 1629213764 is maintained by the National Plan & Provider Enumeration System. The contents of Detra Rouser are for informational purposes only.