Individual
BIANCA RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10415 RABBIT RD LOT 6, LAUDERDALE, MS 39335-9609
(601) 490-4063
Mailing address
10415 RABBIT RD LOT 6, LAUDERDALE, MS 39335-9609
(601) 490-4063
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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