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THOMAS JEFFERSON GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
129 W LAKE MEAD PKWY, B18, HENDERSON, NV 89015-7055
(702) 564-4440
(702) 558-1522
Mailing address
129 W LAKE MEAD PKWY, B18, HENDERSON, NV 89015-7055
(702) 564-4440
(702) 558-1522

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA000309
NV

Other

Enumeration date
10/23/2006
Last updated
12/17/2007
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