| NPI | 1215363171 |
|---|---|
| Doing Business As | JCQ ANESTHESIA |
| Entity Type | Organization |
| Authorized Contact | SARA SEIDEL STIVELMAN Anesthesia Provider 410-219-3836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD 047138) |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2013-12-05 |