TIMOTHY RICHARD ENTZEROTH

YAKIMA, WA
NPI1356912257
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MO  133972)
Enumeration Date2021-07-02
Last Update Date2021-07-02
Business Address
TIMOTHY RICHARD ENTZEROTH CRNA
2811 TIETON DR
YAKIMA, WA 98902-3761
Phone number: 509-575-8000
Mailing Address
TIMOTHY RICHARD ENTZEROTH CRNA
7404 SADDLEBROOK LOOP
YAKIMA, WA 98908-5909
Phone number: 636-288-6279
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