Individual
ITZEL MARISOL BARROSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
152 DAUGHDRILL STA, FLOWOOD, MS 39232-8406
(601) 439-2436
Mailing address
152 DAUGHDRILL STA, FLOWOOD, MS 39232-8406
(601) 439-2436
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
906494
MS
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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