Individual
YOLANDA THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
404 FAIRWAY AVE, BYRAM, MS 39272-5526
(769) 257-9679
Mailing address
404 FAIRWAY AVE, BYRAM, MS 39272-5526
(769) 257-9679
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
03/28/2021
Last updated
03/28/2021
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