KENDRIA SHORT

JACKSON, MS
NPI1437645017
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: MS  902256)
Enumeration Date2018-07-06
Last Update Date2018-07-06
Business Address
KENDRIA SHORT
2219 GREENWAY DR
JACKSON, MS 39204-3202
Phone number: 601-983-7494
Mailing Address
KENDRIA SHORT
2219 GREENWAY DR
JACKSON, MS 39204-3202
Phone number: