TYLER MARSHALL

FARMINGTON, NM
NPI1114379690
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NM  CRNA-01419)
Enumeration Date2016-07-07
Last Update Date2017-08-30
Business Address
TYLER MARSHALL CRNA
801 W MAPLE ST
FARMINGTON, NM 87401-5630
Phone number: 505-609-6648
Mailing Address
TYLER MARSHALL CRNA
2204 IRONWOOD PL STE B
COEUR D ALENE, ID 83814-2662
Phone number: 505-609-2258
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