WAYLAN KRUSE

RIVERSIDE, CA
NPI1518299874
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: CA  86062)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
(Licence: CA  702703)
Enumeration Date2010-02-11
Last Update Date2014-06-30
Business Address
-- WAYLAN KRUSE
3680 RAMONA DR
RIVERSIDE, CA 92506-0160
Phone number: 714-336-0429
Mailing Address
-- WAYLAN KRUSE
3680 RAMONA DR
RIVERSIDE, CA 92506-0160
Phone number: 714-336-0429