JASON KAHL HOLLIS

MUSCLE SHOALS, AL
NPI1760405716
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AL  1-087227)
Enumeration Date2006-07-25
Last Update Date2007-07-08
Business Address
Mr. JASON KAHL HOLLIS CRNA
201 AVALON AVE
MUSCLE SHOALS, AL 35661-2805
Phone number: 256-768-9191
Mailing Address
Mr. JASON KAHL HOLLIS CRNA
PO BOX 10005
FLORENCE, AL 35631-2005
Phone number: 256-768-9191