Individual
JARED THIRJUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1718 W COLTER ST UNIT 172, PHOENIX, AZ 85015-2955
(734) 891-0484
Mailing address
1718 W COLTER ST UNIT 172, PHOENIX, AZ 85015-2955
(734) 891-0484
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
232430
AZ
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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