Individual
JEFFERSON REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNAP, CRNA
Contact information
Practice address
750 E 34TH ST, HIBBING, MN 55746-2341
(218) 262-4881
Mailing address
750 E 34TH ST, HIBBING, MN 55746-2341
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0024171445
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
R 229934-3
MN
Other
Enumeration date
11/10/2013
Last updated
12/19/2018
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