MELVIN L SELF

GREENWOOD, MS
NPI1851575260
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MS  R855594)
Enumeration Date2007-12-20
Last Update Date2007-12-20
Business Address
-- MELVIN L SELF CRNA
1401 RIVER RD
GREENWOOD, MS 38930-4030
Phone number: 662-459-2613
Mailing Address
-- MELVIN L SELF CRNA
PO BOX 1410
GREENWOOD, MS 38935-1410
Phone number: 662-459-2613
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