NPI | 1366019978 |
---|---|
Former Name | JAMARE A REED |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 259166) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: DE L6-0A10901) |
367500000X Nurse Anesthetist, Certified Registered (Licence: MS 901700) | |
Enumeration Date | 2021-06-10 |
Last Update Date | 2022-12-22 |