AMANDA CAROLINE IVY

WEST POINT, MS
NPI1255584207
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy376K00000X Nurse's Aide
(Licence: MS  A059544)
Enumeration Date2008-11-03
Last Update Date2009-05-28
Business Address
-- AMANDA CAROLINE IVY
1804 DOUGHTY CIR
WEST POINT, MS 39773-4041
Phone number: 662-495-1120
Mailing Address
-- AMANDA CAROLINE IVY
1804 DOUGHTY CIR
WEST POINT, MS 39773-4041
Phone number: 662-495-1125