Individual
LAKARRIN ALBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 GROVE ST STE B, VICKSBURG, MS 39183-3160
(682) 330-1247
Mailing address
2001 GROVE ST STE B, VICKSBURG, MS 39183-3160
(682) 330-1247
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
70101
MS
Other
Enumeration date
12/27/2019
Last updated
12/27/2019
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