Individual
JEFFREY J TANGUAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 W 8TH AVE, SPOKANE, WA 99204-2307
(509) 474-4971
Mailing address
19725 E DESCHUTES LN, SPOKANE VALLEY, WA 99016-5046
(509) 434-4407
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP61154961
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
WA
Other
Enumeration date
03/24/2019
Last updated
06/16/2021
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