Individual
MRS. SONIA POLK HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2801 MONROE ST, GULFPORT, MS 39501-7936
(228) 261-4601
(228) 206-2266
Mailing address
2801 MONROE ST, GULFPORT, MS 39501-7936
(228) 261-4601
(228) 206-2266
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P203068
MS
Other
Enumeration date
05/01/2012
Last updated
05/03/2012
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