Individual
MARDOCHEE VAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
505 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2204
(415) 353-3918
Mailing address
505 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2204
(415) 353-3918
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95187633
CA
367500000X
Certified Registered Nurse Anesthetist
RN628657
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118486
NBCRNA
PA
Enumeration date
08/16/2017
Last updated
07/08/2019
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