Organization
UNITED STATES ARMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER SAN ROBINSON (CRNA)
(253) 376-3558
Entity
Organization
Contact information
Practice address
1814 BEACON CT NE, TACOMA, WA 98422-3469
(253) 968-0062
Mailing address
1814 BEACON CT. NE, TACOMA, WA 98422
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0001167107
VA
Other
Enumeration date
11/08/2006
Last updated
08/22/2020
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