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Organization

ALOHA AIR SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CECIL SNODGRASS MD (PRESIDENT)
(253) 770-3107
Entity
Organization

Contact information

Practice address
210 N RAILROAD AVE, SUITE 200, CENTRALIA, WA 98531-4371
(360) 736-0928
(360) 736-0921
Mailing address
1409 2ND ST SE, PUYALLUP, WA 98372-3706
(253) 770-3107
(253) 864-0504

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9051608
WA
Enumeration date
06/22/2012
Last updated
06/22/2012
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