Individual
JAIME KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
424 SAVANNAH RD, LEWES, DE 19958-1462
(302) 645-3300
Mailing address
424 SAVANNAH RD, LEWES, DE 19958-1462
(302) 645-3300
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
LI-0032634
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184768996
BEEBE MEDICAL CENTER
DE
Enumeration date
10/02/2015
Last updated
10/02/2015
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