NPI 1003599333

Somona Landfair

Practitioner Technician Jackson, MS

Practice location

Address: 2501 River Oaks Blvd APT 15d, Jackson, MS 39211-3636
Phone: (662) 633-7445

Registered specialties

Technician Primary

Nursing Service Related Providers Taxonomy 374700000X

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Registry record

NPI: 1003599333
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Aug 2023
Record last updated: 11 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.