Individual
JACQUELINE MARGARET STAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1801 N OREGON ST, LAS PALMAS MEDICAL CENTER, EL PASO, TX 79903
(915) 521-1200
Mailing address
2415 E YANDELL DR, EL PASO, TX 79903
(915) 577-0111
(915) 533-2568
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
026376
TX
Other
Enumeration date
07/04/2006
Last updated
07/08/2007
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