CASSIDY B WATERMAN

POCATELLO, ID
NPI1750691929
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ID  RNA-781)
Enumeration Date2010-10-20
Last Update Date2023-10-19
Business Address
CASSIDY B WATERMAN CRNA
1950 E CLARK ST SUITE G
POCATELLO, ID 83201-3314
Phone number: 208-232-7760
Mailing Address
CASSIDY B WATERMAN CRNA
777 HOSPITAL WAY
POCATELLO, ID 83201-5175
Phone number: 208-240-0735
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