SHALISA GAINES

Contractor

Active Individual
NPI: 1033659958

Practice Address

608 HIGHWAY 80 E # C
Clinton, MS 39056

Phone: (769) 218-0292

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes -

Frequently Asked Questions

NPI 1033659958 is the National Provider Identifier for SHALISA GAINES, a Contractor provider located in Clinton, MS. This NPI was enumerated on February 24, 2017.
SHALISA GAINES practices at 608 HIGHWAY 80 E # C, Clinton, MS 39056.

Quick Facts

NPI
1033659958
Type
Individual
Enumerated
Feb 24, 2017
Last Updated
Feb 24, 2017

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