Individual
MRS. ANJU JOLLY TONY
Active
Individual
MRS. ANJU JOLLY TONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001256214
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024172375
VA
Other
Enumeration date
12/18/2013
Last updated
09/29/2017
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