CHARLES EZELLE

OXFORD, MS
NPI1932576550
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MS  R880502)
Enumeration Date2015-08-31
Last Update Date2015-08-31
Business Address
-- CHARLES EZELLE CRNA
2704 W OXFORD LOOP SUITE 117
OXFORD, MS 38655-5714
Phone number: 662-550-4299
Mailing Address
-- CHARLES EZELLE CRNA
2704 W OXFORD LOOP SUITE 117
OXFORD, MS 38655-5714
Phone number: 662-550-4299