Individual
JAKAYLA PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 SUNSET DR, CLINTON, MS 39056-5211
(601) 308-9846
Mailing address
209 GILMORE CIR, CRYSTAL SPRINGS, MS 39059-3113
(601) 308-9846
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
802824384
MS
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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