JACOB ALLEN RODERICK

MORGANTOWN, WV
NPI1538406871
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: WV  72425)
Enumeration Date2013-01-07
Last Update Date2018-11-15
Business Address
JACOB ALLEN RODERICK CRNA
1200 J D ANDERSON DR
MORGANTOWN, WV 26505-3494
Phone number: 706-650-0705
Mailing Address
JACOB ALLEN RODERICK CRNA
118 CHESS RD
SMITHFIELD, PA 15478-1418
Phone number:
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