Individual
JASON BRODY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
888 SWIFT BLVD # 180, RICHLAND, WA 99352
(480) 593-6690
Mailing address
1109 HANSON LOOP, BURBANK, WA 99323-8537
(480) 593-6690
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60825692
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60842975
WA
Other
Enumeration date
01/26/2018
Last updated
09/04/2018
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