Latrice Beale

NPI #1578957759 in Jackson, Mississippi

Provider Information

NPI Number: 1578957759
Entity Type: Individual
Name: Latrice Beale
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: In Home Supportive Care
Enumeration Date: Mar 25, 2015
Last Updated: Mar 25, 2015

Practice Location

Address: 125 W NORTHSIDE DR # G
City: Jackson
State: Mississippi
ZIP Code: 39206-4723
Phone: (601) 720-2865

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
In Home Supportive Care	253Z00000X	Primary

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