Individual
MRS. JAMIE MARIE GOETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
501 MORRIS ST, CHARLESTON, WV 25301-1326
(304) 388-6220
Mailing address
212 TRAP POST RD, SOUTH CHARLESTON, WV 25309-9737
(304) 744-0551
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
61358
WV
Other
Enumeration date
10/15/2008
Last updated
10/15/2008
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