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Individual

TAKITA CHANEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
736 MARTIN LUTHER KING DR, CANTON, MS 39046-3003
(601) 407-8591
Mailing address
736 MARTIN LUTHER KING DR, CANTON, MS 39046-3003
(601) 407-8591

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary

Other

Enumeration date
06/24/2021
Last updated
06/24/2021
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