JENNIFER C GHERASIM

DETROIT, MI
NPI1174833503
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MI  4704254836)
Enumeration Date2010-10-19
Last Update Date2010-10-19
Business Address
-- JENNIFER C GHERASIM CRNA
4201 SAINT ANTOINE ST
DETROIT, MI 48201-2153
Phone number: 313-745-3607
Mailing Address
-- JENNIFER C GHERASIM CRNA
PO BOX 67000 DEPT 203401
DETROIT, MI 48267-0001
Phone number: 952-442-9770