KANESHA PONJETTA THAGARD

HAYNEVILLE, AL
NPI1447969472
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
Enumeration Date2022-11-17
Last Update Date2022-11-17
Business Address
Ms. KANESHA PONJETTA THAGARD
171 MASON ST
HAYNEVILLE, AL 36040-6408
Phone number: 334-301-0009
Mailing Address
Ms. KANESHA PONJETTA THAGARD
171 MASON ST
HAYNEVILLE, AL 36040-6408
Phone number: 334-301-0009