DERONDA COSTILOW

TUPELO, MS
NPI1467162792
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: MS  862114)
Enumeration Date2022-11-28
Last Update Date2022-11-28
Business Address
DERONDA COSTILOW
2434 S EASON BLVD
TUPELO, MS 38804-6942
Phone number: 662-640-4595
Mailing Address
DERONDA COSTILOW
2434 S EASON BLVD
TUPELO, MS 38804-6942
Phone number: 662-640-4595