WALTER R FETTERLEY

BOISE, ID
NPI1891803482
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ID  RNA-619)
Enumeration Date2006-08-25
Last Update Date2008-11-20
Business Address
Mr. WALTER R FETTERLEY CRNA
621 RESERVE ST
BOISE, ID 83712-6354
Phone number: 208-559-7162
Mailing Address
Mr. WALTER R FETTERLEY CRNA
621 RESERVE ST
BOISE, ID 83712-6354
Phone number: 208-559-7162
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