Individual
SHENICIA SORRELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3530 MANOR DR STE 6A, VICKSBURG, MS 39180-5625
(601) 618-6149
Mailing address
3530 MANOR DR STE 6A, VICKSBURG, MS 39180-5625
(601) 618-6149
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
—
—
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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