Most Relevant Information
Provider Data
NPI Number: | 1003599333 |
Provider Name: | SOMONA LANDFAIR |
Entity Type: | Individual |
Taxonomy Code: | 374700000X |
Specialty: | Technician |
License Number: |
Most Important Dates
Enumeration Date: | 08/11/2023 |
Last Updated: | 08/11/2023 |
Provider Practice Location
2501 RIVER OAKS BLVD APT 15D
JACKSON
MS
392113636
Practice Location Phone/Fax
Phone: | 6626337445 |
Fax: |
Provider Mailing Location
2501 RIVER OAKS BLVD APT 15D
JACKSON
MS
392113636
Provider Mailing Phone/Fax
Phone: | 6626337445 |
Fax: |