Individual
CHEEQUANDA MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8701 HIGHWAY 493, BAILEY, MS 39320-8200
(601) 604-1464
Mailing address
8701 HIGHWAY 493, BAILEY, MS 39320-8200
(601) 604-1464
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/26/2021
Last updated
02/26/2021
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