LAURA KUNSTMANN

JACKSON, MS
NPI1992122550
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171W00000X Contractor
(Licence: TX  100578)
Additional Taxonomies171W00000X Contractor
(Licence: MS  OT335)
Enumeration Date2014-03-20
Last Update Date2014-03-20
Business Address
-- LAURA KUNSTMANN OTR
311 OLD SPANISH TRL
JACKSON, MS 39212-3210
Phone number: 601-540-5694
Mailing Address
-- LAURA KUNSTMANN OTR
311 OLD SPANISH TRL
JACKSON, MS 39212-3210
Phone number: 601-540-5694