Individual
JANNA SUE FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1304 MILLBAY CT, SAINT LOUIS, MO 63129-3171
(314) 200-8180
Mailing address
1304 MILLBAY CT, SAINT LOUIS, MO 63129-3171
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
138425
MO
Other
Enumeration date
04/12/2010
Last updated
04/12/2010
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