Provider Demographics
NPI:1023624137
Name:ZANZON, DAYSI LISETT
Entity type:Individual
Prefix:
First Name:DAYSI
Middle Name:LISETT
Last Name:ZANZON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 S LOWE ST
Mailing Address - Street 2:
Mailing Address - City:HAZLEHURST
Mailing Address - State:MS
Mailing Address - Zip Code:39083-3017
Mailing Address - Country:US
Mailing Address - Phone:601-951-1806
Mailing Address - Fax:
Practice Address - Street 1:210 S LOWE ST
Practice Address - Street 2:
Practice Address - City:HAZLEHURST
Practice Address - State:MS
Practice Address - Zip Code:39083-3017
Practice Address - Country:US
Practice Address - Phone:601-951-1806
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-23
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program