JEANETTE LORETTA COFFEE

HAMPTON, VA
NPI1679537880
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367H00000X Anesthesiologist Assistant
(Licence: VA  0001105495)
Enumeration Date2006-04-14
Last Update Date2007-07-08
Business Address
-- JEANETTE LORETTA COFFEE CRNA
113 SIGNATURE WAY
HAMPTON, VA 23666-5966
Phone number: 757-723-3549
Mailing Address
-- JEANETTE LORETTA COFFEE CRNA
804 SCOTT NIXON MEMORIAL DR
AUGUSTA, GA 30907-2464
Phone number: 800-394-4445