JUSTIN C. WALLEY

MERIDIAN, MS
NPI1871674606
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MS  R860609)
Enumeration Date2006-10-18
Last Update Date2017-02-27
Business Address
-- JUSTIN C. WALLEY CRNA
1314 19TH AVE
MERIDIAN, MS 39301-4116
Phone number: 601-703-9687
Mailing Address
-- JUSTIN C. WALLEY CRNA
1314 19TH AVE
MERIDIAN, MS 39301-4116
Phone number: 601-703-4282
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