Individual
MR. JEREMY D WAITS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
375 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 862-2432
(513) 862-8857
Mailing address
3180 KETTERING BLVD, MORAINE, OH 45439-1924
(937) 297-6072
(937) 293-0969
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN335120
OH
Other
Enumeration date
02/22/2010
Last updated
02/22/2010
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