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Individual

JOANNA J CHANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042
(800) 243-3839
Mailing address
3751 W 136TH AVE UNIT U3, BROOMFIELD, CO 80023-8150
(720) 737-9759

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024177303
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R213118
RN
MD
01
RN1041735
RN
DC
Enumeration date
08/28/2018
Last updated
02/26/2019
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