IVYRAINE WOMEN'S CLINIC

SOUTHAVEN, MS
NPI1962166264
Entity TypeOrganization
Authorized ContactJENNIFER FREDRICKSON
Np
662-856-8440
Organization Subpart ?No
Primary Taxonomy363LW0102X Nurse Practitioner Women's Health
Enumeration Date2021-10-24
Last Update Date2021-12-29
Business Address
IVYRAINE WOMEN'S CLINIC
3964 GOODMAN RD E STE 131
SOUTHAVEN, MS 38672-8762
Phone number: 662-856-8440
Mailing Address
IVYRAINE WOMEN'S CLINIC
3964 GOODMAN RD E STE 131
SOUTHAVEN, MS 38672-8762
Phone number: 662-856-8440
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