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Individual

MS. PEGGY A HOOKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1831 GLOUCESTER PL, CLINTON, MS 39056-3908
(601) 746-3050
Mailing address
1831 GLOUCESTER PL, CLINTON, MS 39056-3908
(601) 746-3050

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
343900000X
Non-emergency Medical Transport (VAN)
373H00000X
Day Training/Habilitation Specialist
3747P1801X
Personal Care Attendant
376J00000X
Homemaker
376K00000X
Nurse's Aide
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
624120
MS
Enumeration date
03/28/2022
Last updated
03/28/2022
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