SHASTA M LANGFORD

RIDGELAND, MS
NPI1891932893
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MS  TA1738)
Enumeration Date2009-01-13
Last Update Date2009-01-13
Business Address
-- SHASTA M LANGFORD
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
Mailing Address
-- SHASTA M LANGFORD
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
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