Individual
JO BCHARVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
122 SANTA FE AVE, PISMO BEACH, CA 93449-1947
(805) 904-7491
Mailing address
122 SANTA FE AVE, PISMO BEACH, CA 93449-1947
(805) 904-7491
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
716137
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95001658
CA
Other
Enumeration date
07/01/2021
Last updated
03/14/2024
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