JALISA JOHNSON

LAKE, MS
NPI1285340703
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251E00000X Home Health
Enumeration Date2023-01-27
Last Update Date2023-01-27
Business Address
JALISA JOHNSON
249 JOHNSONTOWN RD
LAKE, MS 39092-3909
Phone number: 769-274-1148
Mailing Address
JALISA JOHNSON
249 JOHNSONTOWN RD
LAKE, MS 39092-9563
Phone number: 769-274-1148
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