Individual
LAWONNA MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
306 S MAIN ST, FOREST, MS 39074-4134
(601) 564-7166
Mailing address
306 S MAIN ST, FOREST, MS 39074-4134
(601) 564-7166
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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