AMANDA BALOF

TUPELO, MS
NPI1144698994
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MS  R887872)
Enumeration Date2015-09-10
Last Update Date2015-09-10
Business Address
-- AMANDA BALOF
830 S GLOSTER ST
TUPELO, MS 38801-4934
Phone number: 662-377-4394
Mailing Address
-- AMANDA BALOF
PO BOX 3294
TUPELO, MS 38803-3294
Phone number: 662-377-4394