SHANE RICHARD SMITH

FAIRBANKS, AK
NPI1063137677
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AK  145179)
Enumeration Date2022-10-05
Last Update Date2022-10-05
Business Address
SHANE RICHARD SMITH CRNA
1650 COWLES ST
FAIRBANKS, AK 99701-5907
Phone number: 907-452-8181
Mailing Address
SHANE RICHARD SMITH CRNA
2 N 3000 E
SUGAR CITY, ID 83448-1220
Phone number: 360-600-7852
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