Individual
LASHONTAY BURKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
332 EMERSON DR, HATTIESBURG, MS 39401-4717
(601) 582-2122
Mailing address
332 EMERSON DR, HATTIESBURG, MS 39401-4717
(601) 582-2122
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/02/2017
Last updated
01/02/2017
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