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Individual

DR. ROSE MARIE SOTOLONGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.P.M.

Contact information

Practice address
731 S PEAR ORCHARD RD, SUITE 7, RIDGELAND, MS 39157-4800
(601) 206-9101
(601) 206-9102
Mailing address
731 S PEAR ORCHARD RD, SUITE 7, RIDGELAND, MS 39157
(601) 206-9101
(601) 206-9102

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
80114
MS
213EP1101X
Primary Podiatric Medicine Podiatrist
80114
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00113033
MS
01
480016317
RETIRED RAILROAD MEDICARE
Enumeration date
09/06/2005
Last updated
01/13/2023
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