KITTRICK RANDALL DUBOISE

BOISE, ID
NPI1538115035
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: ID  N33003)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: ID  RNA589)
Enumeration Date2006-05-26
Last Update Date2007-07-08
Business Address
-- KITTRICK RANDALL DUBOISE CRNA
1055 N CURTIS RD
BOISE, ID 83706-1352
Phone number: 208-367-6416
Mailing Address
-- KITTRICK RANDALL DUBOISE CRNA
PO BOX 4008
PORTLAND, OR 97208-4008
Phone number: 503-372-2740