JEFFREY TEVIN HEN CRNA
Individual Provider (NPI-1)
Active
Nurse Anesthetist, Certified Registered
Provider Information
- NPI Number
1972173185- Provider Type
- Individual Provider (NPI-1)
- Credentials
- CRNA
- Status
- Active
Contact & Location
- Address
- 4009 KENNY DR, STOCKTON, CA, 952123458
- Phone
- (209) 616-2310
Specialties & Taxonomies
Registered Nurse, Critical Care Medicine
License: CA #95159147
Nurse Anesthetist, Certified Registered
Primary License: CA #95002301