Individual
ERNESTO A. RAYMUNDO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1717 S J ST, TACOMA, WA 98405-4933
(844) 364-2778
(253) 627-6576
Mailing address
1717 S J ST, TACOMA, WA 98405-4933
(844) 364-2778
(253) 627-6576
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
531238
CA
367500000X
Certified Registered Nurse Anesthetist
3671
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60832758
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2137323
—
WA
Enumeration date
10/22/2007
Last updated
12/09/2020
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