Individual
MRS. MONIECA MICHELLE MCNAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
635 NAKOMA DR, JACKSON, MS 39206-3335
(601) 540-0725
(759) 524-4426
Mailing address
PO BOX 68934, JACKSON, MS 39286-8934
(601) 540-0725
(769) 524-4426
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/07/2020
Last updated
05/07/2020
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