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Individual

MS. JEANETTE RENEE VANARSDALL

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
BUILDING 166 INNER LOOP ROAD, USA MEDDAC, FORT IRWIN, CA 92310-5109
(760) 380-6292
Mailing address
BUILDING 248A BOX 81, FORT IRWIN, CA 92310-5109
(760) 267-5165

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
17788
AK

Other

Enumeration date
04/19/2006
Last updated
07/08/2007
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