CHARLES DAVID LAINE

TEMPE, AZ
NPI1003911520
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AZ  RN083051)
Enumeration Date2006-09-13
Last Update Date2007-07-08
Business Address
Mr. CHARLES DAVID LAINE CRNA
1500 S MILL AVE
TEMPE, AZ 85281-6699
Phone number: 480-784-5500
Mailing Address
Mr. CHARLES DAVID LAINE CRNA
862 N PINEVIEW DR
CHANDLER, AZ 85226-1919
Phone number: 480-940-3895