Individual
JORDEN J GARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2811 TIETON DR, YAKIMA, WA 98902-3761
(509) 575-8000
Mailing address
736 N 2850 W, HURRICANE, UT 84737-1360
(435) 574-7827
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1072188
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP61183586
WA
Other
Enumeration date
06/08/2021
Last updated
11/08/2024
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