Individual
MRS. DALILA FAIRCHILD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5241 UMPTANUM RD, ELLENSBURG, WA 98926-6989
(509) 899-9083
Mailing address
5241 UMPTANUM RD, ELLENSBURG, WA 98926-6989
(509) 899-9083
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
200841072
OR
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60292819
WA
Other
Enumeration date
01/10/2012
Last updated
04/10/2017
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