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Rosa Moody, N/A
NPI 1851972665 · on the registry since 2021 · sole proprietor
Practice
- Address
- 35 Pine St
Hattiesburg, MS 39402 - Phone
- (601) 434-1799
Registry record
- Primary taxonomy
- Private Vehicle
347C00000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-04-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi