Walter Samuel Rose II
Walter Samuel Rose II is a Student in an Organized Health Care Education/Training Program in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2021.
- Licensed in
- MS
- In the registry since
- 2021
Practice location Address checks out
3805 Crane BlvdJackson, MS 39216-3608
Phone: (662) 207-7268
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (MS) |
|---|
Record details
| NPI number | 1720666282 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 29, 2021 |
| Last updated in NPPES | March 29, 2021 |
| Certification date | March 29, 2021 |
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