Reginald Lumpkin
Technician, Personal Care Attendant in Jackson, MS. Individual provider (NPI-1).
NPI number1164063376
StatusActive
Last updated in NPPESSep 30, 2019
Details
- NPI
- 1164063376
- Entity type
- Individual (NPI-1)
- Name
- Reginald Lumpkin
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 30, 2019
- Last updated
- Sep 30, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
1160 Joanne St Apt 108Jackson, MS 39204-5253
Phone 601-760-4348
Mailing address
1160 Joanne St Apt 108Jackson, MS 39204-5253
Phone 601-760-4348
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All 13 Personal Care Attendant providers in Jackson · All 8,702 providers in Jackson
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