Individual
MS. JEANIE T KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
200 IRONSTONE CT, ROSEVILLE, CA 95747-5840
(916) 743-6126
Mailing address
200 IRONSTONE CT, ROSEVILLE, CA 95747-5840
(916) 743-6126
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
712669
CA
Other
Enumeration date
05/07/2013
Last updated
05/07/2013
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