Markeisha Laquita Wardell
Markeisha Laquita Wardell is a Prosthetic/Orthotic Supplier in Clarksville, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.
- Licensed in
- TN
- In the registry since
- 2020
Practice location Address checks out
1502 Tiny Town RdClarksville, TN 37042-8087
Phone: (931) 645-4270
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthetic/Orthotic Supplier (primary) | Taxonomy 335E00000X · Licence 0107051558 (TN) |
|---|
Record details
| NPI number | 1649898818 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 13, 2020 |
| Last updated in NPPES | July 13, 2020 |
| Certification date | July 13, 2020 |
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