AMANDA KIM COVAULT

BRANDON, MS
NPI1154385490
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MS  880864)
Enumeration Date2006-04-13
Last Update Date2017-01-05
Business Address
Mrs. AMANDA KIM COVAULT CRNA
2510 LAKELAND DRIVE
BRANDON, MS 39232-9513
Phone number: 601-355-1234
Mailing Address
Mrs. AMANDA KIM COVAULT CRNA
2510 LAKELAND DR
BRANDON, MS 39232-9513
Phone number: 601-355-1234
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