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Individual
MRS. SUMA JOSEPH
Active
Individual
MRS. SUMA JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
2013002286
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
AP125653
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340823901
—
TX
01
—
8307UH
BCBS
TX
Enumeration date
12/07/2012
Last updated
02/08/2019
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