Individual
SABRINA LATORYA RAIFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
2218 21ST AVE, GULFPORT, MS 39501-4627
(601) 324-1823
Mailing address
2218 21ST AVE, GULFPORT, MS 39501-4627
(601) 324-1823
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
503747
MS
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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