Individual
JACOB E. SWENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1250 E MARSHALL ST, DEPARTMENT OF ANESTHESIOLOGY, RICHMOND, VA 23298-5051
(804) 628-6990
(804) 628-6932
Mailing address
PO BOX 780125, PHILADELPHIA, PA 19178-0125
(804) 922-4844
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024172374
VA
Other
Enumeration date
02/16/2015
Last updated
05/30/2023
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