TERESA STANFORD

AMORY, MS
NPI1245246099
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MS  R613878)
Enumeration Date2006-08-01
Last Update Date2009-12-07
Business Address
-- TERESA STANFORD NP
1105 EARL FRYE BLVD
AMORY, MS 38821-5500
Phone number: 662-256-9327
Mailing Address
-- TERESA STANFORD NP
123 MAIN ST N
AMORY, MS 38821-3416
Phone number: 662-256-7112