KENITRA WALLACE

NATCHEZ, MS
NPI1891218046
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  902181)
Enumeration Date2017-07-19
Last Update Date2018-05-23
Business Address
KENITRA WALLACE FNP
145 HOMOCHITTO ST
NATCHEZ, MS 39120
Phone number: 601-442-4863
Mailing Address
KENITRA WALLACE FNP
145 HOMOCHITTO ST
NATCHEZ, MS 39120-3906
Phone number: 601-442-4863
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