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Individual

JENNIFER HAMMOND EZE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 744-3059
Mailing address
325 9TH AVE, SEATTLE, WA 98104-2420

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60389004
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1891032272
WA
Enumeration date
01/06/2013
Last updated
11/03/2016
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