Individual
ANNEMARIE JAYNE WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1500 SAN PABLO ST, 4TH FLOOR, LOS ANGELES, CA 90033-5313
(323) 442-7400
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-7400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
659845
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95000029
CA
Other
Enumeration date
10/23/2013
Last updated
10/07/2014
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