Individual
LOUISE AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5650 CONCORD DR, JACKSON, MS 39211-4238
(601) 906-1732
Mailing address
5650 CONCORD DR, JACKSON, MS 39211-4238
(601) 906-1732
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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