Individual
SANEDRA PEGUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4754 DUBARRY LN, JACKSON, MS 39209-4929
(601) 212-9457
Mailing address
4754 DUBARRY LN, JACKSON, MS 39209-4929
(601) 212-9457
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
MS
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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