LAKISHA PETEN

COLUMBIA, MS
NPI1578241519
Professional NameLAKISHA PETEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy335E00000X Prosthetic/Orthotic Supplier
Enumeration Date2023-07-10
Last Update Date2023-07-11
Business Address
LAKISHA PETEN
950 HWY 13 S
COLUMBIA, MS 39429
Phone number: 601-588-6689
Mailing Address
LAKISHA PETEN
107 WALTER PAYTON DR # 220
COLUMBIA, MS 39429-3738
Phone number: 601-588-6689