OWEN STAILEY

TACOMA, WA
NPI1407208440
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: UT  5665237-4406)
Enumeration Date2016-07-01
Last Update Date2016-07-05
Business Address
-- OWEN STAILEY CRNA
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-0959
Mailing Address
-- OWEN STAILEY CRNA
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: