KENDRA IESHA SAMUEL

WIGGINS, MS
NPI1386125383
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  902802)
Enumeration Date2018-08-27
Last Update Date2020-10-22
Business Address
KENDRA IESHA SAMUEL FNP
1434 CENTRAL AVE E
WIGGINS, MS 39577-9602
Phone number: 601-928-6600
Mailing Address
KENDRA IESHA SAMUEL FNP
1434 CENTRAL AVE E
WIGGINS, MS 39577-9602
Phone number: 601-928-6600