THOMAS OVERLY

BREMERTON, WA
NPI1154399384
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: WA  rn00108309 ap3000532)
Enumeration Date2006-03-14
Last Update Date2007-07-08
Business Address
-- THOMAS OVERLY CRNA
1 BOONE RD
BREMERTON, WA 98312-1894
Phone number: 360-475-4755
Mailing Address
-- THOMAS OVERLY CRNA
4015 74TH AVENUE CT NW
GIG HARBOR, WA 98335-6529
Phone number: 253-265-2686