Individual
ALEIGHSHA B KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
511 HEROD DR, WINONA, MS 38967-1509
(662) 417-6272
Mailing address
511 HEROD DR, WINONA, MS 38967-1509
(662) 417-6272
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
801998965
MS
Other
Enumeration date
02/21/2019
Last updated
10/24/2023
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