FREDERICK BENTZ MALLINI

HATTIESBURG, MS
NPI1326309600
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MS  880930)
Enumeration Date2012-06-04
Last Update Date2020-08-10
Business Address
FREDERICK BENTZ MALLINI CRNA
415 S 28TH AVE
HATTIESBURG, MS 39401-7246
Phone number: 601-261-3606
Mailing Address
FREDERICK BENTZ MALLINI CRNA
415 S 28TH AVE
HATTIESBURG, MS 39401-7246
Phone number: 601-261-3606