MARY JEAN DETCHEMENDY

CONCORD, NC
NPI1093737009
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NC  096193)
Enumeration Date2006-07-25
Last Update Date2007-07-09
Business Address
-- MARY JEAN DETCHEMENDY CRNA
920 CHURCH ST N
CONCORD, NC 28025-2927
Phone number: 704-783-4235
Mailing Address
-- MARY JEAN DETCHEMENDY CRNA
102 HARBORGATE CT
CORNELIUS, NC 28031-5000
Phone number: 704-892-8372