Individual
SARA HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 N WEST ST, JACKSON, MS 39202-1033
(601) 352-7784
Mailing address
1465 LAKELAND DR, JACKSON, MS 39216-4719
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
RBT-22-242563
MS
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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