Individual
JESSICA BETH LEE COCOLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
(202) 444-6680
Mailing address
15805 BUENA VISTA DR, ROCKVILLE, MD 20855-2659
13018301056
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1114817
DC
Other
Enumeration date
06/08/2017
Last updated
01/09/2018
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