Individual
JOANNE GERVASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
VA SAN DIEGO HEALTHCARE SYSTEM, 3350 LA JOLLA VILLAGE DRIVE, SAN DIEGO, CA 92161-0001
(858) 642-3300
Mailing address
467 AVENIDA PRIMAVERA, DEL MAR, CA 92014-2420
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1950
CA
Other
Enumeration date
07/08/2006
Last updated
07/08/2007
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