Individual
JUANITA ANTOINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
814 S HAUGH AVE STE A, PICAYUNE, MS 39466-4572
(601) 569-5443
Mailing address
814 S HAUGH AVE STE A, PICAYUNE, MS 39466-4572
(601) 569-5443
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
MS
Other
Enumeration date
09/12/2023
Last updated
09/22/2023
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