Individual
JAMIE H VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2900 FIRST AVENUE, HUNTINGTON, WV 25702
(304) 526-1234
Mailing address
5699 U S ROUTE 60, HUNTINGTON, WV 25705
(304) 736-6126
(304) 736-1531
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
313939
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
58763
WV
Other
Enumeration date
03/02/2012
Last updated
03/02/2012
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