GREGORY TSUDA

BOISE, ID
NPI1255720918
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: UT  105706)
Enumeration Date2015-01-20
Last Update Date2015-08-15
Business Address
-- GREGORY TSUDA
338 E BANNOCK ST
BOISE, ID 83712-6207
Phone number: 208-336-0895
Mailing Address
-- GREGORY TSUDA
338 E BANNOCK ST
BOISE, ID 83712-6207
Phone number: 208-336-0895