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MS. JANNEN LEE PALLAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
3600 JOSEPH SIEWICK DR, FAIRFAX, VA 22033-1709
(703) 293-9590
Mailing address
68 S SERVICE RD STE 350, MELVILLE, NY 11747-2358
(516) 945-3107
(516) 945-3131

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001203329
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024171455
VA

Other

Enumeration date
01/24/2014
Last updated
07/16/2024
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