JESSE I BROOME

LONGVIEW, WA
NPI1528308558
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: WA  AP60556936)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: FL  9310702)
Enumeration Date2013-02-28
Last Update Date2023-05-18
Business Address
JESSE I BROOME CRNA
1615 DELAWARE ST
LONGVIEW, WA 98632-2367
Phone number: 360-414-2000
Mailing Address
JESSE I BROOME CRNA
PO BOX 5157
VANCOUVER, WA 98668-5157
Phone number: 360-828-5396