Individual
MRS. VERA ANN FAGOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
710 LAWRENCE EXPY, SANTA CLARA, CA 95051-5173
(408) 851-1000
Mailing address
710 LAWRENCE EXPRESSWAY, SANTA CLARA, CA 95051
(408) 851-1000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
250936
CA
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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