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Individual

MS. ROSA MARIE MOODY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
N/A

Contact information

Practice address
35 PINE ST, HATTIESBURG, MS 39402-3642
(601) 434-1799
Mailing address
35 PINE ST, HATTIESBURG, MS 39402-3642
(601) 434-1799

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
800805922
MS

Other

Enumeration date
04/14/2021
Last updated
04/14/2021
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