Individual
DEMETRESS BRENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2941 SHEILA DR, JACKSON, MS 39209-6125
(601) 278-7311
Mailing address
2941 SHEILA DR, JACKSON, MS 39209-6125
(601) 278-7311
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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