NPI | 1104336445 |
---|---|
Former Legal Business Name | BLUE SKY SOLUTIONS GROUP PLLC |
Entity Type | Organization |
Authorized Contact | DWAYNE JOSEPH THIBEAULT Managing Member/ Owner 603-285-9171 |
Organization Subpart ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 048036-23) |
Enumeration Date | 2017-09-30 |
Last Update Date | 2022-07-21 |