FREDERICK BERNARD REGINAL

JACKSON, MS
NPI1821567868
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251E00000X Home Health
Enumeration Date2018-11-20
Last Update Date2018-11-20
Business Address
Mr. FREDERICK BERNARD REGINAL
2310 HIGHWAY 80 W
JACKSON, MS 39204-2354
Phone number: 769-251-1106
Mailing Address
Mr. FREDERICK BERNARD REGINAL
2310 HIGHWAY 80 W
JACKSON, MS 39204-2354
Phone number: 769-251-1106