Organization
ANESTHESIA ELEMENTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEUDIEL ROBERT PUENTE CRNA (OWNER)
(425) 213-9915
Entity
Organization
Contact information
Practice address
26323 NE 25TH ST, REDMOND, WA 98053-9081
(425) 213-9915
Mailing address
26323 NE 25TH ST, REDMOND, WA 98053-9081
(425) 213-9915
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30006800
WA
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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