Individual
MISS ROTONIA GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
801 PATTON AVE, MOUND BAYOU, MS 38762-9681
(901) 649-1123
Mailing address
801 PATTON AVE, MOUND BAYOU, MS 38762-9681
(901) 649-1123
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
327534
MS
Other
Enumeration date
04/16/2018
Last updated
03/07/2025
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