Individual
JEDIDIAH POLETE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
129 W LAKE MEAD PKWY, SUITE B18, HENDERSON, NV 89015-6954
(702) 564-4440
(702) 558-1522
Mailing address
1444 PETERMAN DR, SUITE B18, ALEXANDRIA, LA 71301-3432
(702) 564-4440
(702) 558-1522
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP09081
LA
Other
Enumeration date
12/23/2013
Last updated
02/09/2017
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