Individual
WYSHIEKA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA37676620140516
Contact information
Practice address
315 DOWNING ST, JACKSON, MS 39216-3006
(601) 724-9969
Mailing address
315 DOWNING ST, JACKSON, MS 39216-3006
(601) 724-9969
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
PCA37676620140516
MN
374U00000X
Home Health Aide
Primary
PCA37676620140516
MN
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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