Individual
JEREMY VAZQUEZ-KESSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8990 SPRINGBROOK DR NW, SUITE 250, COON RAPIDS, MN 55433-5850
(763) 398-0099
(763) 398-0124
Mailing address
8990 SPRINGBROOK DR NW, SUITE 250, COON RAPIDS, MN 55433-5850
(763) 398-0099
(763) 398-0124
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R150025-3
MN
Other
Enumeration date
08/20/2008
Last updated
03/30/2018
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