Individual
MS. JENNIFER G RESTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
8008 WESTPARK DR, KAISER PERMANENTE TYSONS CORNER MEDICAL CENTER, MC LEAN, VA 22102-3109
(703) 287-6400
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
CRNA 0024166056
VA
207L00000X
Anesthesiology Physician
RN-0001188030
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024166056
VA
Other
Enumeration date
07/18/2005
Last updated
03/01/2013
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