Individual
JOVAN VERNON TRENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, CRNA
Contact information
Practice address
1800 N CALIFORNIA ST, STOCKTON, CA 95204
(509) 720-0117
Mailing address
505 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2204
(415) 883-0944
(415) 476-9516
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95000485
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538528518
—
WA
Enumeration date
02/18/2016
Last updated
01/11/2024
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