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1083221220
TIASSA LENA POWELL
SAN JOSE, CA
NPI
1083221220
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: CA 95001408)
Enumeration Date
2020-09-30
Last Update Date
2022-03-28
Business Address
TIASSA LENA POWELL CRNA
250 HOSPITAL PKWY
SAN JOSE, CA 95119-1103
Phone number: 408-972-3000
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Mailing Address
TIASSA LENA POWELL CRNA
255 9TH AVE APT 715
OAKLAND, CA 94606-5139
Phone number: 510-325-0708
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