Individual
JEFFREY GEORGE CUSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2823 FRESNO ST, FRESNO, CA 93721-1324
(559) 459-6000
Mailing address
1520 CARBURY WAY, ROSEVILLE, CA 95747-7034
(916) 899-9988
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95001648
CA
Other
Enumeration date
12/23/2021
Last updated
12/23/2021
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