Organization
PACIFIC RIM ANESTHESIA SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANIE MARIE LIGHTFOOT CRNA (CRNA)
(540) 419-4126
Entity
Organization
Contact information
Practice address
1427 JEFFERSON AVE STE 101, ENUMCLAW, WA 98022-3649
(360) 825-4466
Mailing address
3508 366TH ST E, EATONVILLE, WA 98328-8281
(540) 419-4126
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
04/04/2019
Last updated
05/14/2019
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