KEISHA L BLACK

GAUTIER, MS
NPI1720032139
Entity TypeIndividual
GenderFemale
Sole Proprietor ?
Primary Taxonomy226300000X Kinesiotherapist
Enumeration Date2006-05-20
Last Update Date2007-07-08
Business Address
MS. KEISHA L BLACK RKT
1603 SPRINGRIDGE RD
GAUTIER, MS 39553-3123
Phone number: 228-497-8189
Mailing Address
MS. KEISHA L BLACK RKT
1603 SPRINGRIDGE RD
GAUTIER, MS 39553-3123
Phone number: 228-497-8189