MARKEISHA LAQUITA WARDELL

CLARKSVILLE, TN
NPI1649898818
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy335E00000X Prosthetic/Orthotic Supplier
(Licence: TN  0107051558)
Enumeration Date2020-07-13
Last Update Date2020-07-13
Business Address
MARKEISHA LAQUITA WARDELL
1502 TINY TOWN RD
CLARKSVILLE, TN 37042-8087
Phone number: 931-645-4270
Mailing Address
MARKEISHA LAQUITA WARDELL
3684 AURORA DR
CLARKSVILLE, TN 37040-2553
Phone number: 931-591-8501