Individual
JEREMY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
119 KING ST, HAGERSTOWN, MD 21740-5732
(301) 665-1717
Mailing address
9405 MARSH POINT CT, GAITHERSBURG, MD 20882-2801
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R185077
MD
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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