Individual
NAKEISHA DONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
662 PIERMONT ST, JACKSON, MS 39206-3817
(601) 502-3781
Mailing address
662 PIERMONT ST, JACKSON, MS 39206-3817
(601) 502-3781
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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