person
Walter Samuel Rose II
Student in an Organized Health Care Education/Training Program in Jackson, Mississippi
NPI 1720666282

Walter Samuel Rose II is a Student in an Organized Health Care Education/Training Program based in Jackson, MS. Walter Samuel Rose II practices in Jackson, MS. The NPI Number for Walter Samuel Rose II is 1720666282 and holds a License No. (Mississippi).

The current practice location address for Walter Samuel Rose II is 3805 Crane Blvd, Jackson, MS and can be reached out via phone at 662-207-7268.

Location: 3805 Crane Blvd, Jackson, MS, 39216-3608
person
Provider Profile Details
NPI Number
1720666282
Provider Name
Walter Samuel Rose II
Credential
Provider Entity Type
Individual
Gender
Male
Address
3805 Crane Blvd, Jackson, MS, 39216-3608
Phone Number
662-207-7268
Fax Number
Provider Enumeration Date
03/29/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3805 Crane Blvd
City
State
Zip
39216-3608
Phone Number
662-207-7268
Fax Number
person
Provider Business Mailing Address Details
Address
3805 Crane Blvd
City
State
Zip
39216-3608
Phone Number
662-207-7268
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
(Mississippi)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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