Individual
CORA CHRISTIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2084 DUNBARTON DR STE D, JACKSON, MS 39216-5020
(601) 316-4729
Mailing address
357 WILLOW RIDGE CV, BRANDON, MS 39047-8089
(601) 316-4729
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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