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Individual

BRANDON WAYNE JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
2931 N TENAYA WAY, SUITE 102, LAS VEGAS, NV 89128-0456
(702) 388-8996
(702) 387-8763
Mailing address
2931 N TENAYA WAY, SUITE 102, LAS VEGAS, NV 89128-0456
(702) 388-8996
(702) 387-8763

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN146801
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
326705
AZ
Enumeration date
07/24/2007
Last updated
05/19/2008
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