| NPI | 1548712680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEUDIEL ROBERT PUENTE Owner 425-213-9915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP30006800) |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2016-10-25 |