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Individual

JESSIE BOZELKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
101 W 8TH AVE, SPOKANE, WA 99204-2307
(509) 474-3131
Mailing address
624 S 2050 W, VERNAL, UT 84078-4028

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP61070077
WA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/11/2020
Last updated
04/23/2021
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