Jt Anesthesia Prof LLC
NPI #1851934335 in Bowdle, South Dakota
Provider Information
- NPI Number
- 1851934335
- Entity Type
- Organization
- Organization Name
- Jt Anesthesia Prof LLC
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Oct 28, 2019
- Last Updated
- Oct 28, 2019
Practice Location
- Address
- 32521 139TH STREET
- City
- Bowdle
- State
- South Dakota
- ZIP Code
- 57428
- Phone
- (302) 420-9101
Authorized Official
- Name
- JESSICA ANN MEDORI HEINRICH, CRNA
- Title
- CRNA
- Phone
- (302) 420-9101
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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