Jacqueline Stark, CRNA
NPI #1396742284 in Anaheim, California
Provider Information
- NPI Number
- 1396742284
- Entity Type
- Individual
- Name
- Jacqueline Stark, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Jul 7, 2005
- Last Updated
- Jul 15, 2010
Practice Location
- Address
- 3350 W BALL RD
- Address 2
- ANESTHESIA DEPARTMENT
- City
- Anaheim
- State
- California
- ZIP Code
- 92804-3710
- Phone
- (714) 827-6700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
| Nurse Anesthetist, Certified Registered |
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