SHASTA PICKENS

HATTIESBURG, MS
NPI1679297436
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: MS  907223)
Enumeration Date2022-09-26
Last Update Date2022-10-06
Business Address
SHASTA PICKENS
3215 MONTAGUE BLVD
HATTIESBURG, MS 39406-9045
Phone number: 601-266-5454
Mailing Address
SHASTA PICKENS
841 COUNTY ROAD 9
BAY SPRINGS, MS 39422-9045
Phone number: 601-670-0389
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