Individual
JOHN R BRAKEALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
701 E MARSHALL ST, WEST CHESTER, PA 19380-4412
(610) 431-5472
Mailing address
150 BLUFF AVE, NORTH AUGUSTA, SC 29841-3862
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
269773
PA
Other
Enumeration date
07/26/2006
Last updated
03/11/2016
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