DIANA KIM ENNIS

COLUMBUS, MS
NPI1740246958
Entity TypeIndividual
GenderFemale
Sole Proprietor ?
Primary Taxonomy163WW0101X Registered Nurse Women's Health Care, Ambulatory
(Licence: TN  APN0000006307)
Enumeration Date2006-04-25
Last Update Date2007-07-08
Business Address
MRS. DIANA KIM ENNIS NP
100 INDEPENDENCE DR.
COLUMBUS, MS 39710-0001
Phone number: 662-434-2181
Mailing Address
MRS. DIANA KIM ENNIS NP
8536 TIMBER WALK CV
CORDOVA, TN 38018-4337
Phone number: 901-755-3599
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