Organization
ALOHA AIR SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CECIL SNODGRASS M.D. (PRESIDENT)
(253) 770-3107
Entity
Organization
Contact information
Practice address
1409 2ND ST SE, PUYALLUP, WA 98372-3706
(253) 770-3107
(253) 864-0504
Mailing address
1409 2ND ST SE, PUYALLUP, WA 98372-3706
(253) 770-3107
(253) 864-0504
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
UBI602093730
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9051608
—
WA
Enumeration date
05/27/2006
Last updated
08/31/2009
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