Individual
JASON POLETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6019 WALNUT GROVE RD, MEMPHIS, TN 38120
(901) 226-5000
Mailing address
184 FLYING QUAIL RD, HURON, TN 38345-9713
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
174286
TN
Other
Enumeration date
07/09/2018
Last updated
08/06/2018
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