Individual
JEANNETTE AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6041 CADILLAC AVE, LOS ANGELES, CA 90034-1702
(323) 857-2345
Mailing address
2101 S BEVERLY GLEN BLVD PH 3, LOS ANGELES, CA 90025-6076
(970) 618-4500
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
420067
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
67338054
—
CO
Enumeration date
06/21/2006
Last updated
12/17/2013
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