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Individual

JERRY F GIARDINA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
2323 TEXAS ST, PECOS, TX 79772-7338
(432) 447-3551
(432) 447-5434
Mailing address
2323 TEXAS ST, PECOS, TX 79772-7338
(432) 447-3551
(432) 447-5434

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
458628
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003467004
TX
05
20781881
NM
05
232634
AZ
05
60232021
CO
Enumeration date
04/19/2007
Last updated
06/17/2016
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