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Individual

MRS. SONYA G. FREEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
309 JACKSON ST, MONROE, LA 71201-7407
(504) 779-5515
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(517) 787-6440

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP05633
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1339997
LA
Enumeration date
10/28/2008
Last updated
02/12/2010
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