Individual
KEYONNA RASHAY OATIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1124 AZTEC TRL, COLUMBIA, MS 39429-2558
(601) 674-6075
Mailing address
1124 AZTEC TRL, COLUMBIA, MS 39429-2558
(601) 674-6075
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
898478
MS
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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