Individual
JEREMY BURRESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2451 SEABRING DR, LAKE HAVASU CITY, AZ 86403-3156
(928) 846-6397
Mailing address
2451 SEABRING DR, LAKE HAVASU CITY, AZ 86403-3156
(928) 846-6397
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
05/13/2016
Last updated
05/13/2016
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