AMAYA ERVIN

JACKSON, MS
NPI1174401426
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MO  202501954)
Enumeration Date2025-08-25
Last Update Date2025-08-25
Business Address
AMAYA ERVIN ST
4722 SATINWOOD ST
JACKSON, MS 39212-5857
Phone number: 601-717-3712
Mailing Address
AMAYA ERVIN ST
4722 SATINWOOD ST
JACKSON, MS 39212-5857
Phone number: 601-717-3712
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