VIRGINIA SUE FAGAN

PERKINSTON, MS
NPI1568188100
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Additional Taxonomies372600000X Adult Companion
Enumeration Date2022-10-17
Last Update Date2022-10-20
Business Address
VIRGINIA SUE FAGAN
29 RESTER RD
PERKINSTON, MS 39573-4947
Phone number: 228-343-3105
Mailing Address
VIRGINIA SUE FAGAN
29 RESTER RD
PERKINSTON, MS 39573-4947
Phone number: 228-343-3105