Individual
M JEAN DURANDETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1934 NILES CORTLAND RD NE, WARREN, OH 44484-1055
(330) 609-7874
(330) 609-6616
Mailing address
3622 BELMONT AVE, SUITE 1, YOUNGSTOWN, OH 44505-1450
(330) 759-9350
(330) 759-9387
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN226380
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0847981
—
OH
Enumeration date
05/11/2006
Last updated
03/24/2008
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