Individual
JACOB L DEEDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(808) 433-7699
Mailing address
91-1130 PEKAU ST, EWA BEACH, HI 96706-5604
(210) 383-0017
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
59687
NE
Other
Enumeration date
12/09/2009
Last updated
12/09/2009
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