WANYA PRIDGEN

JACKSON, MS
NPI1245080753
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-03-26
Last Update Date2024-03-26
Business Address
WANYA PRIDGEN
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-1113
Mailing Address
WANYA PRIDGEN
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-815-0600
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