Individual
MARA R JOMPHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3100 SPRING FOREST RD, RALEIGH, NC 27616-2880
(919) 873-9533
(919) 873-9821
Mailing address
3100 SPRING FOREST RD, RALEIGH, NC 27616-2880
(919) 873-9533
(919) 873-9821
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0001173620
VA
Other
Enumeration date
01/17/2008
Last updated
10/07/2015
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