Individual
MR. HARALD JORGE SAMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6952 APUWAI PL, DIAMONDHEAD, MS 39525-3513
(228) 493-2490
Mailing address
6952 APUWAI PL, DIAMONDHEAD, MS 39525-3513
(228) 493-2490
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R868903
MS
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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