Individual
JALISA KEYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2129 GRAND AVE, YAZOO CITY, MS 39194-2312
(662) 673-4020
Mailing address
5155 KEELE ST APT 16B, JACKSON, MS 39206-4329
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-15566
MS
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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