Individual
MRS. KIANNA JEANETTE LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15239 CHRISTY CV, GULFPORT, MS 39503-2806
(201) 362-5958
Mailing address
15239 CHRISTY CV, GULFPORT, MS 39503-2806
(201) 362-5958
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
06/19/2020
Last updated
06/19/2020
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