BROCK J AMOS

LONGVIEW, WA
NPI1295807717
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: WA  AP60410232)
Enumeration Date2006-11-14
Last Update Date2016-02-15
Business Address
-- BROCK J AMOS CRNA
1615 DELAWARE ST
LONGVIEW, WA 98632-2367
Phone number: 360-414-2000
Mailing Address
-- BROCK J AMOS CRNA
1115 SE 164TH AVE DEPT. 358
VANCOUVER, WA 98683-9324
Phone number: 360-729-1462
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