Individual
JAQUINA ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
441 SPELL STREET, SHUBUTA, MS 39360
(601) 274-1655
Mailing address
PO BOX 85, SHUBUTA, MS 39360-0085
(601) 274-5821
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
07/02/2021
Last updated
07/02/2021
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