EMMA PHUONG TO

JACKSON, MS
NPI1841768868
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MS  901540)
Additional Taxonomies163W00000X Registered Nurse
(Licence: MS  891838)
Enumeration Date2018-11-07
Last Update Date2019-02-20
Business Address
EMMA PHUONG TO CRNA
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-5952
Mailing Address
EMMA PHUONG TO CRNA
105 KATHERINE DR STE G
FLOWOOD, MS 39232-8857
Phone number: 601-933-9521