BRADLEY LAU

BOISE, ID
NPI1679011183
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ID  55161)
Enumeration Date2017-02-03
Last Update Date2017-03-29
Business Address
-- BRADLEY LAU CRNA
338 E BANNOCK ST
BOISE, ID 83712-6207
Phone number: 208-336-0895
Mailing Address
-- BRADLEY LAU CRNA
338 E BANNOCK ST
BOISE, ID 83712-6207
Phone number: 208-336-0895
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