Individual
SOPHIA RAHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14 MILLSTONE RD, MADISON, WI 53717-1414
(310) 600-5199
Mailing address
14 MILLSTONE RD, MADISON, WI 53717-1414
(310) 600-5199
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1666807
CO
Other
Enumeration date
06/03/2020
Last updated
06/09/2020
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