DELAINA LUCUS

RIDGELAND, MS
NPI1194949107
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MS  PTA2694)
Enumeration Date2007-04-12
Last Update Date2007-07-08
Business Address
Miss DELAINA LUCUS LPTA
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
Mailing Address
Miss DELAINA LUCUS LPTA
510 N 38TH AVE APT 59
HATTIESBURG, MS 39401-5732
Phone number: 601-296-0411