Individual
JANIS W THEREAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
UCI MEDICAL CENTER, 101 THE CITY DRIVE SOUTH, ORANGE, CA 92868
(714) 456-2986
Mailing address
UNV ANESTHESIA ASSOCIATES, PO BOX 54330, LOS ANGELES, CA 90054-0330
(714) 456-2986
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
000000G52125
CA
Other
Enumeration date
10/03/2006
Last updated
12/17/2007
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