Individual
ANGELA DENISE DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2233 HWY 7, LAMAR, MS 38642
(901) 692-4146
Mailing address
146 BARBARA DR, MICHIGAN CITY, MS 38647-8539
(901) 692-4146
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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