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MR. JIMMIE CONSTANTINE FOSTER CRNA

>> Nurse Anesthetist, Certified Registered >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1881766442

Individual Registrant:
MR. JIMMIE CONSTANTINE FOSTER CRNA
Gender: M
Not Sole Proprietor

Location and contact information for practice:
204 SANTA MARIA AVE  COLONIAL BEACH, VA 22443-4755 US
Tel: 804-224-7697  Fax: --

Contact information for business:
204 SANTA MARIA AVE  COLONIAL BEACH, VA 22443-4755 US
Tel: 804-224-7697  Fax: --

Registration Information:
NPI: 1881766442
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y367500000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Anesthetist, Certified Registered
DC073861

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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