Individual
JARED STEPHEN LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-7890
Mailing address
5281 VISTA DEL AMIGO, YORBA LINDA, CA 92886-4656
(404) 502-6808
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95001274
CA
Other
Enumeration date
02/22/2017
Last updated
02/29/2024
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