TAIJAN BAO

RESTON, VA
NPI1932187440
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: VA  0024160550)
Additional Taxonomies163W00000X Registered Nurse
(Licence: VA  0001160550)
Enumeration Date2006-01-04
Last Update Date2007-11-05
Business Address
-- TAIJAN BAO CRNA
1860 TOWN CENTER PKWY #G100 RESTON SURGERY CENTER
RESTON, VA 20190-3219
Phone number: 703-471-0919
Mailing Address
-- TAIJAN BAO CRNA
PO BOX 2699
RESTON, VA 20195-0699
Phone number: 703-471-0919