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Individual

MRS. DANETTE FAYE CRUTHIRDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
310 TRAMORE CT, STERLING, VA 20164-3550
(703) 430-4490
Mailing address
310 TRAMORE CT, STERLING, VA 20164-3550
(703) 430-4490

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1491127091
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
45228
HI

Other

Enumeration date
09/03/2008
Last updated
09/03/2008
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