| NPI | 1699182402 |
|---|---|
| Other Name | JUSTSIN JURGENS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 557286) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 108284) |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2014-10-30 |