JENNA ELIZ TAN DERIVERA

WASHINGTON, DC
NPI1255123345
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367H00000X Anesthesiologist Assistant
Enumeration Date2025-05-22
Last Update Date2025-05-22
Business Address
JENNA ELIZ TAN DERIVERA CAA
1200 PECAN ST SE
WASHINGTON, DC 20032-2652
Phone number: 202-823-4220
Mailing Address
JENNA ELIZ TAN DERIVERA CAA
2300 M ST NW FL 7
WASHINGTON, DC 20037-1434
Phone number: 202-823-4220