Individual
JEANETTE LORETTA COFFEE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
113 SIGNATURE WAY, HAMPTON, VA 23666-5966
(757) 723-3549
Mailing address
804 SCOTT NIXON MEMORIAL DR, AUGUSTA, GA 30907-2464
(800) 394-4445
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
0001105495
VA
Other
Enumeration date
04/14/2006
Last updated
07/08/2007
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