DAVID HANSEN

BOISE, ID
NPI1033510433
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ID  RNA-910A)
Enumeration Date2014-09-04
Last Update Date2014-09-04
Business Address
-- DAVID HANSEN CRNA
338 E BANNOCK ST
BOISE, ID 83712-6207
Phone number: 208-336-0895
Mailing Address
-- DAVID HANSEN CRNA
2125 W LONESOME DOVE ST
MERIDIAN, ID 83646-9302
Phone number:
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