Individual
MRS. LAJUANDA DAVIS PORTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MLS
Contact information
Practice address
4840 MCWILLIE CIR, JACKSON, MS 39206-5024
(601) 954-5847
Mailing address
4412 MANHATTAN RD, JACKSON, MS 39206-6134
(601) 954-5847
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
MS
Other
Enumeration date
05/26/2023
Last updated
05/26/2023
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