JERRY WAYNE LATCH

CORINTH, MS
NPI1538654199
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
(Licence: MS  12758939)
Enumeration Date2018-06-26
Last Update Date2018-06-27
Business Address
JERRY WAYNE LATCH
206 N FILLMORE ST
CORINTH, MS 38834
Phone number: 662-286-8064
Mailing Address
JERRY WAYNE LATCH
206 N FILLMORE ST
CORINTH, MS 38834-5634
Phone number: 662-286-8064
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