Individual
MR. JEREMY MORALES CACHOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1823 W SIERRA SUNSET TRL, PHOENIX, AZ 85085-8079
(623) 444-8241
Mailing address
1823 W SIERRA SUNSET TRL, PHOENIX, AZ 85085-8079
(847) 651-4885
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
171872-30
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
184230
AZ
Other
Enumeration date
07/09/2012
Last updated
06/01/2018
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