Individual
SOKHEN BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 MAGNOLIA ST, MAGNOLIA, MS 39652-2826
(601) 600-6559
Mailing address
1011 PEARL RIVER AVENUE EXT, MCCOMB, MS 39648-8646
(601) 600-6559
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
02/15/2017
Last updated
02/15/2017
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