| NPI | 1114340098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SUE HAVIN President 509-481-0487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP30007512) |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2014-01-28 |