SANDRA J JACOBS

LOVINGTON, NM
NPI1396718599
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: WA  AP30004485)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: NM  CRNA00524)
Enumeration Date2006-02-08
Last Update Date2014-11-04
Business Address
-- SANDRA J JACOBS CRNA
1600 N MAIN AVE
LOVINGTON, NM 88260-2830
Phone number: 575-396-6611
Mailing Address
-- SANDRA J JACOBS CRNA
7711 NE 175TH ST APT A302
KENMORE, WA 98028-3567
Phone number: 425-274-5046