Individual
ASHLEY WYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
317 RIVER RD N, JACKSON, MS 39211-3531
(601) 850-7248
Mailing address
317 RIVER RD N, JACKSON, MS 39211-3531
(601) 850-7248
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/25/2021
Last updated
09/25/2021
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