Individual
DONNA C AINSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1240 THOMAS DR, LAUREL, MS 39440-1079
(601) 606-1521
(601) 651-4002
Mailing address
1240 THOMAS DR, LAUREL, MS 39440-1079
(601) 606-1521
(601) 651-4002
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
10368716
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10368716
LIFE, HEALTH AND ACCIDENT
MS
Enumeration date
09/24/2015
Last updated
09/24/2015
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