Individual
BLAIR RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2811 TIETON DR, YAKIMA, WA 98902-3761
(509) 575-8000
Mailing address
2199 OXFORD RIDGE CIR, LEHIGH ACRES, FL 33973-6058
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60787302
WA
Other
Enumeration date
07/21/2017
Last updated
10/17/2018
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