KATESE BLACK LASHUN RUTHERFORD

TUPELO, MS
NPI1598132771
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  R883096)
Enumeration Date2015-08-24
Last Update Date2025-08-12
Business Address
KATESE BLACK LASHUN RUTHERFORD
499 GLOSTER CREEK VLG
TUPELO, MS 38801-4600
Phone number: 662-432-0700
Mailing Address
KATESE BLACK LASHUN RUTHERFORD
499 GLOSTER CREEK VLG STE A1
TUPELO, MS 38801-4749
Phone number: 662-438-0700
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