KENEEN CHILDRESS

TERRY, MS
NPI1396289203
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy246ZC0007X Specialist/Technologist, Other Surgical Assistant
(Licence: MS  3224)
Enumeration Date2016-12-12
Last Update Date2016-12-12
Business Address
KENEEN CHILDRESS C.S.A
12035 SPRINGRIDGE RD
TERRY, MS 39170-8105
Phone number: 601-527-6290
Mailing Address
KENEEN CHILDRESS C.S.A
12035 SPRINGRIDGE RD
TERRY, MS 39170-8105
Phone number: