Individual
YANNIQUE DANYELLE CRIGLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 S LAMAR ST STE N400, JACKSON, MS 39201-4013
(601) 604-3260
Mailing address
1521 N HILLS ST, MERIDIAN, MS 39305-1730
(601) 604-3260
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
324508
MS
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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