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Individual

MS. ALTA MAY STEVENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNA/HHA

Contact information

Practice address
6522 HIGHWAY 18, BRANDON, MS 39042-9775
(601) 896-5361
Mailing address
6522 HIGHWAY 18, BRANDON, MS 39042-9775
(601) 896-5361

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
376J00000X
Homemaker

Other

Enumeration date
06/25/2013
Last updated
06/25/2013
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