Individual
SHANIQUA MAYES-WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 6464, JACKSON, MS 39282-6464
(769) 320-5623
Mailing address
PO BOX 6464, JACKSON, MS 39282-6464
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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