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Individual

IREEN LOYOLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2017 JEFFERSON ST SW, ROANOKE, VA 24014-2419
(540) 981-7000
Mailing address
2017 JEFFERSON ST SW, ROANOKE, VA 24014-2419

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
0001174542
VA
164W00000X
Licensed Practical Nurse
0024168653
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024168653
VA

Other

Enumeration date
02/10/2010
Last updated
06/11/2014
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