Individual
LAKISHA MIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6563 DERBY LN NW, CONCORD, NC 28027-5213
(704) 906-7725
Mailing address
6563 DERBY LN NW, CONCORD, NC 28027-5213
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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