Individual
KULMORIS JOINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
350 WEST WOODROW WILSON AVENUE, SUITE 145, JACKSON, MS 39213
(601) 807-5496
(769) 233-8840
Mailing address
350 W WOODROW WILSON AVE, SUITE 145, JACKSON, MS 39213-7681
(601) 807-5496
(769) 233-8840
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
06023302
MS
376J00000X
Homemaker
05671361
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05671361
—
MS
05
—
06023302
—
MS
Enumeration date
03/27/2015
Last updated
03/30/2015
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