Provider Demographics
NPI:1831789981
Name:HOWZE, CLOUZETTA D
Entity type:Individual
Prefix:
First Name:CLOUZETTA
Middle Name:D
Last Name:HOWZE
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 1:5 SIENNA LN
Mailing Address - Street 2:
Mailing Address - City:SUMRALL
Mailing Address - State:MS
Mailing Address - Zip Code:39482-4564
Mailing Address - Country:US
Mailing Address - Phone:601-408-8651
Mailing Address - Fax:
Practice Address - Street 1:5 SIENNA LN
Practice Address - Street 2:
Practice Address - City:SUMRALL
Practice Address - State:MS
Practice Address - Zip Code:39482-4564
Practice Address - Country:US
Practice Address - Phone:601-408-8651
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-22
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247ZC0005XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyClinical Laboratory Director, Non-physician