SHALISA GAINES

CLINTON, MS
NPI1033659958
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171W00000X Contractor
Enumeration Date2017-02-24
Last Update Date2017-02-24
Business Address
-- SHALISA GAINES
608 HIGHWAY 80 E # C
CLINTON, MS 39056-5104
Phone number: 769-218-0292
Mailing Address
-- SHALISA GAINES
608 HIGHWAY 80 E # C
CLINTON, MS 39056-5104
Phone number: 769-218-0292