CANDICE FAIRLEY

RIDGELAND, MS
NPI1528592219
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MS  TA2777)
Enumeration Date2017-04-19
Last Update Date2017-04-19
Business Address
-- CANDICE FAIRLEY
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
Mailing Address
-- CANDICE FAIRLEY
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777