Individual
MARYJO CZAIA JERVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7373 FRANCE AVE S, EDINA, MN 55435-4534
(952) 832-9360
Mailing address
PO BOX 47159, PLYMOUTH, MN 55447-0159
(763) 559-3779
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R086886-0
MN
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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