VITA THAGGARD

JACKSON, MS
NPI1871675686
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MS  R124660)
Enumeration Date2006-10-20
Last Update Date2010-12-15
Business Address
VITA THAGGARD
2500 N STATE ST PFS
JACKSON, MS 39216-4500
Phone number: 601-984-4619
Mailing Address
VITA THAGGARD
2500 N STATE ST PFS
JACKSON, MS 39216-4500
Phone number: 601-984-4619
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