Individual
MISS JOLYN CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4815 ALAMEDA AVE, EL PASO, TX 79905-2705
(915) 209-1413
Mailing address
110 JASPER DR, AMHERST, NY 14226-4164
(915) 209-1413
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
809586
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP131305
TX
Other
Enumeration date
12/03/2013
Last updated
05/15/2024
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