MRS. Lajuanda Davis Portis, MLS
NPI #1588357404 in Jackson, Mississippi
Provider Information
- NPI Number
- 1588357404
- Entity Type
- Individual
- Name
- MRS. Lajuanda Davis Portis, MLS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Health & Wellness Coach
- Credential
- MLS
- Enumeration Date
- May 26, 2023
- Last Updated
- May 26, 2023
Practice Location
- Address
- 4840 MCWILLIE CIR
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39206-5024
- Phone
- (601) 954-5847
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health & Wellness Coach |
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Organizations
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