Individual
MR. JASON BLAKE HOLLANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
205 MARENGO ST, FLORENCE, AL 35630-6033
(256) 768-9191
(256) 768-9775
Mailing address
PO BOX 10005, FLORENCE, AL 35631-2005
(256) 768-9191
(256) 768-9775
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-099064
AL
Other
Enumeration date
12/31/2012
Last updated
12/31/2012
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