Individual
SONJI ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
541 ROSE RD, HICKORY, MS 39332-3294
(601) 917-9143
(601) 635-2964
Mailing address
541 ROSE RD, HICKORY, MS 39332-3294
(601) 917-9143
(601) 635-2964
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
865996
MS
Other
Enumeration date
01/09/2021
Last updated
01/09/2021
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