Individual
MRS. JESSICA AUDREY WEBSTER MEDALIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5401 OLD COURT RD, RANDALLSTOWN, MD 21133-5103
(410) 701-4547
(410) 701-4342
Mailing address
5401 OLD COURT RD, RANDALLSTOWN, MD 21133-5103
(410) 701-4547
(410) 701-4342
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R157735
MD
Other
Enumeration date
12/10/2009
Last updated
07/08/2015
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