TERESSA L GRACE

CLARKSDALE, MS
NPI1164748281
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy376K00000X Nurse's Aide
(Licence: MS  A0337768)
Enumeration Date2010-04-14
Last Update Date2010-04-14
Business Address
TERESSA L GRACE N/A
1742 N STATE ST
CLARKSDALE, MS 38614-6620
Phone number: 662-621-9850
Mailing Address
TERESSA L GRACE N/A
1742 N STATE ST
CLARKSDALE, MS 38614-6620
Phone number: 662-621-9850