JANIE KO STAPLES

TEMPLE, TX
NPI1225333974
Former NameJANIE FANGYUAN KO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  AP121116)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  809556)
367500000X Nurse Anesthetist, Certified Registered
(Licence: PA  RN591738)
Enumeration Date2011-01-11
Last Update Date2020-09-22
Business Address
JANIE KO STAPLES CRNA
2401 S 31ST ST
TEMPLE, TX 76508-0001
Phone number: 254-724-2111
Mailing Address
JANIE KO STAPLES CRNA
PO BOX 844658
DALLAS, TX 75284-4658
Phone number: 254-724-2111