PENNY ANN WEAVER-RANDLE

COLUMBUS, MS
NPI1093937344
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MS  P260275)
Enumeration Date2007-05-03
Last Update Date2007-07-09
Business Address
PENNY ANN WEAVER-RANDLE LPN
383 BARCLAY DR
COLUMBUS, MS 39702-4425
Phone number: 662-327-7315
Mailing Address
PENNY ANN WEAVER-RANDLE LPN
383 BARCLAY DR
COLUMBUS, MS 39702-4425
Phone number: 662-327-7315