Individual
JENNIFER REBECCA GEORGIEVSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1221 PINE GROVE AVE, PORT HURON, MI 48060-3511
(810) 987-5000
Mailing address
1221 PINE GROVE AVE, PORT HURON, MI 48060-3511
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704225745
MI
Other
Enumeration date
07/16/2011
Last updated
08/08/2013
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