Individual
MISS GLORIA JEAN KILLINGSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
221 MAGNOLIA ST., HAZELHURST, MS 39083
(601) 291-0852
Mailing address
221 MAGNOLIA ST., HAZELHURST, MS 39083
(601) 291-0852
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
1305053
—
Other
Enumeration date
12/23/2021
Last updated
12/23/2021
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