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Individual

FONDA L ROWLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.P.N.

Contact information

Practice address
1654 E UNION ST, GREENVILLE, MS 38703-3250
(662) 335-5274
(662) 378-3976
Mailing address
1654 E UNION ST, GREENVILLE, MS 38703-3250
(662) 335-5274
(662) 378-3976

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P320858
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00018205
MS
Enumeration date
06/09/2008
Last updated
06/09/2008
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