Individual
JEFFREY R WATERHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
555 N DUKE ST, LANCASTER, PA 17602-2250
(717) 544-5070
Mailing address
PO BOX 3555, LANCASTER, PA 17604-3555
(717) 544-5511
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN269376L
PA
Other
Enumeration date
01/30/2008
Last updated
01/30/2008
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