Individual
TERESA S HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3406 REDMOND AVE, JACKSON, MS 39213-5621
(601) 519-7243
Mailing address
3406 REDMOND AVE, JACKSON, MS 39213-5621
(601) 519-7243
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
MS
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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