WALTER JESSE TRUDO

IDAHO FALLS, ID
NPI1841243474
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: OK  R 0090514)
Enumeration Date2006-05-17
Last Update Date2016-11-17
Business Address
MR. WALTER JESSE TRUDO CRNA
3100 CHANNING WAY
IDAHO FALLS, ID 83404-7533
Phone number: 479-659-2746
Mailing Address
MR. WALTER JESSE TRUDO CRNA
343 SUNTERRA DR
IDAHO FALLS, ID 83404-5089
Phone number: 479-659-2746
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