CRAWFORD REED WALLACE

CARRIERE, MS
NPI1598108896
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MS  R881469)
Additional Taxonomies163W00000X Registered Nurse
(Licence: MS  R881469)
Enumeration Date2013-04-17
Last Update Date2016-02-22
Business Address
-- CRAWFORD REED WALLACE CRNA
32 CLEAR SKY DR
CARRIERE, MS 39426-7818
Phone number: 601-337-0700
Mailing Address
-- CRAWFORD REED WALLACE CRNA
32 CLEAR SKY DR
CARRIERE, MS 39426-7818
Phone number: 601-337-0700
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