BLAKE T PETERSON

YAKIMA, WA
NPI1043561343
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: WA  AP60300423)
Enumeration Date2012-09-26
Last Update Date2012-09-26
Business Address
-- BLAKE T PETERSON CRNA
406 S 30TH AVE SUITE 202
YAKIMA, WA 98902-3713
Phone number: 509-972-1051
Mailing Address
-- BLAKE T PETERSON CRNA
406 S 30TH AVE SUITE 202
YAKIMA, WA 98902-3713
Phone number: 509-972-1051
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