Individual
REGINALD LUMPKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1160 JOANNE ST APT 108, JACKSON, MS 39204-5253
(601) 760-4348
Mailing address
1160 JOANNE ST APT 108, JACKSON, MS 39204-5253
(601) 760-4348
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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