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Organization

PROFESSIONAL QUALITY HEALTHCARE

Active
Other names
PROFESSIONAL QUALITY HYEALTHCARE LLC
Organization subpart
No

Provider details

NPI number
Authorized official
FREDERICK BERNARD REGINAL (OWNER)
(769) 867-1455
Entity
Organization

Contact information

Practice address
2310 HIGHWAY 80 W STE 2260, JACKSON, MS 39204-2383
(769) 867-1455
Mailing address
2310 HIGHWAY 80 W STE 2260, JACKSON, MS 39204-2383
(769) 867-1455

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
06/08/2022
Last updated
06/08/2022
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