| NPI | 1619294303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAK A KING Insurance COO Rdinator 208-667-1376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ID RNA570) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: ID RNA595) |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2010-04-21 |