Lakitta Black

NPI 1780314286 · on the registry since 2022 · sole proprietor

Practice

Address: 7721 Hacks Cross Rd Ste 114
Olive Branch, MS 38654
Phone: (901) 461-2756
Fax: (662) 796-6432
Organisation at this address: Mz Keke Anointed Hands Salon And Hair Replacement Center
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 174400000X
174400000X
Licence states on file: MS
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-06-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi