DALE P HOTARD

VICKSBURG, MS
NPI1609314400
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MS  901422)
Enumeration Date2017-02-01
Last Update Date2017-02-01
Business Address
Mr. DALE P HOTARD CRNA
103 FAIRVIEW DR
VICKSBURG, MS 39180-8934
Phone number: 314-258-1988
Mailing Address
Mr. DALE P HOTARD CRNA
103 FAIRVIEW DR
VICKSBURG, MS 39180-8934
Phone number:
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