Mia Ben'na Durrell
Mia Ben'na Durrell is an Athletic Trainer in Hattiesburg, Mississippi. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
100 Foxgate Ave Apt 31DHattiesburg, MS 39402-1840
Phone: (601) 597-9960
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|
Record details
| NPI number | 1619693199 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 17, 2022 |
| Last updated in NPPES | October 17, 2022 |
| Certification date | October 16, 2022 |
| Mailing address | Po Box 142, Fayette, MS 39069-0142 |
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