Individual
JESSE SEVERINO DUDAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3400 WAKE FOREST RD, DUKE RALEIGH HOSPITAL, RALEIGH, NC 27609-7317
(919) 954-3939
Mailing address
2701 KINGSLEY RD, RALEIGH, NC 27612-2923
(919) 602-7953
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
206465
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
085560
NC
Other
Enumeration date
07/30/2010
Last updated
04/22/2014
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