Individual
MRS. REBECCA ANNE JOVANOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-7784
(248) 898-8181
Mailing address
130 TOWN CENTER DR, STE 203, TROY, MI 48084-1744
(248) 585-8221
(248) 585-8270
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704289673
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704289673
MI
Other
Enumeration date
09/28/2017
Last updated
10/02/2017
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