Individual
JOSEPHINE TA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
8600 OLD GEORGETOWN RD, BETHESDA, MD 20814-1422
(301) 896-3100
Mailing address
13412 BLUEBEARD TER, CLARKSBURG, MD 20871-9459
(240) 505-2813
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R200851
MD
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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