FREDERICKA LYNETTE FAIRMAN

BROOKHAVEN, MS
NPI1679389944
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy376K00000X Nurse's Aide
(Licence: MS  083949)
Enumeration Date2024-12-10
Last Update Date2025-01-01
Business Address
Miss FREDERICKA LYNETTE FAIRMAN
504 EASTGATE DR
BROOKHAVEN, MS 39601-3106
Phone number: 601-748-1731
Mailing Address
Miss FREDERICKA LYNETTE FAIRMAN
504 EASTGATE DR
BROOKHAVEN, MS 39601-3106
Phone number: 601-748-1731