JENNIFER G DEFOREST

SALEM, VA
NPI1710282504
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: VA  0024169163)
Enumeration Date2011-01-26
Last Update Date2011-01-26
Business Address
-- JENNIFER G DEFOREST CRNA
1900 ELECTRIC RD ANESTHESIA DEPARTMENT
SALEM, VA 24153-7474
Phone number: 540-776-4000
Mailing Address
-- JENNIFER G DEFOREST CRNA
PO BOX 13888
ROANOKE, VA 24038-3888
Phone number:
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