LAZERRICK JONMONTA TRAVIS

JACKSON, MS
NPI1518749241
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2023-10-17
Last Update Date2023-10-17
Business Address
LAZERRICK JONMONTA TRAVIS
341 EDGEWOOD TERRACE DR
JACKSON, MS 39206-6217
Phone number: 601-487-6344
Mailing Address
LAZERRICK JONMONTA TRAVIS
341 EDGEWOOD TERRACE DR
JACKSON, MS 39206-6217
Phone number: 601-487-6344
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