Organization
TERESA ANN CEASER
Active
Other names
Tresses For Less Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA ANN CEASER (OWNER)
(601) 366-6700
Entity
Organization
Contact information
Practice address
115 BROADMOOR DR, JACKSON, MS 39206-4842
(601) 366-6700
(601) 366-6007
Mailing address
115 BROADMOOR DR, JACKSON, MS 39206-4842
(601) 366-6700
(601) 366-6007
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05059701
—
MS
Enumeration date
08/31/2006
Last updated
02/01/2011
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