Individual
CAMILLE MARY LILIANE JANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA-C
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(301) 946-5100
Mailing address
118 JENNY CT, STRASBURG, VA 22657-3789
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA000021
DC
Other
Enumeration date
06/15/2009
Last updated
06/15/2009
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