WANDA IKEDA

TUPELO, MS
NPI1013114677
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: MS  R696196)
Enumeration Date2007-06-28
Last Update Date2018-03-17
Business Address
Ms. WANDA IKEDA ACNP
499 GLOSTER CREEK VLG STE A2
TUPELO, MS 38801-4749
Phone number: 662-620-6800
Mailing Address
Ms. WANDA IKEDA ACNP
PO BOX 3488
TUPELO, MS 38803-3488
Phone number: 662-377-2949