Individual
MRS. THERESA ANN RAFIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2504 BROWNING ROAD 520, GREENWOOD, MS 38930-6022
(662) 453-6211
Mailing address
119 COUNTY ROAD 352, GREENWOOD, MS 38930-7068
(662) 455-8226
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R867386
MS
Other
Enumeration date
02/22/2007
Last updated
08/13/2010
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