FANIKA SHUNTAE HERBERT

JACKSON, MS
NPI1710256037
Former NameFANIKA SHUNTAE ADAMS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WM0705X Registered Nurse, Medical-Surgical
(Licence: MS  R882847)
Enumeration Date2011-12-14
Last Update Date2011-12-14
Business Address
Mrs. FANIKA SHUNTAE HERBERT
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-1000
Mailing Address
Mrs. FANIKA SHUNTAE HERBERT
101 HOLMAN ST
CRYSTAL SPRINGS, MS 39059-2582
Phone number: 601-201-1130
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