Individual
JESSE A DESKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2900 LAMB CIR, CHRISTIANSBURG, VA 24073-6344
(540) 731-2802
Mailing address
2900 LAMB CIR, CHRISTIANSBURG, VA 24073-6344
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001181995
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024170688
VA
Other
Enumeration date
12/18/2012
Last updated
02/28/2013
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