Individual
JAMI LEA HACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3601 S 6TH AVE # 7-11A, TUCSON, AZ 85723-0001
(520) 629-1814
Mailing address
7887 N LA CHOLLA BLVD, APT 3175, TUCSON, AZ 85741-4313
(605) 390-1101
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R031699
SD
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA0902
AZ
Other
Enumeration date
09/12/2012
Last updated
07/22/2013
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