DOMINIQUE CHIANTE BEVERLY

GREENWOOD, MS
NPI1497335392
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy376K00000X Nurse's Aide
(Licence: MS  75626)
Additional Taxonomies374U00000X Home Health Aide
Enumeration Date2021-04-13
Last Update Date2022-08-18
Business Address
DOMINIQUE CHIANTE BEVERLY CNA
804 MARTIN ST
GREENWOOD, MS 38930-3318
Phone number: 662-385-0987
Mailing Address
DOMINIQUE CHIANTE BEVERLY CNA
804 MARTIN ST
GREENWOOD, MS 38930-3318
Phone number: 662-385-0987
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