Individual
MRS. SARAH SIACUNCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5955 ZEAMER AVE, JBER, AK 99506
(909) 703-9561
Mailing address
5955 ZEAMER AVE, JBER, AK 99506-3702
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.1630641
CO
367500000X
Certified Registered Nurse Anesthetist
Primary
APN.0999784
CO
Other
Enumeration date
02/11/2015
Last updated
10/31/2024
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