Individual
DEJEN TEKESTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2823 FRESNO ST, FRESNO, CA 93721-1324
(559) 459-6000
Mailing address
729 E KAWEAH AVE, VISALIA, CA 93292-2925
(559) 300-8554
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
112223
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
95000742
CA
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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