CHARLES P HATLESTAD

ROCHESTER, NY
NPI1497789408
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NY  458858)
Enumeration Date2006-07-10
Last Update Date2007-07-09
Business Address
CHARLES P HATLESTAD CRNA
601 ELMWOOD AVE BOX 604
ROCHESTER, NY 14642-0001
Phone number: 585-275-5982
Mailing Address
CHARLES P HATLESTAD CRNA
601 ELMWOOD AVE BOX 604
ROCHESTER, NY 14642-0001
Phone number: 585-275-5982