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Individual

JOLIE NGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(800) 926-8273
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
COA.18668
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
NA95000830
CA
367500000X
Certified Registered Nurse Anesthetist
RN281980
GA

Other

Enumeration date
01/28/2016
Last updated
02/13/2021
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