Individual
MR. JASON J WESTRA
Active
Individual
MR. JASON J WESTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
088571
CT
163W00000X
Registered Nurse
597211
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
597211
NY
Other
Enumeration date
06/23/2011
Last updated
07/17/2012
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