Organization
BARBARA H KLUBE CRNA PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA H KLUBE CRNA, PS (OWNER)
(253) 588-7911
Entity
Organization
Contact information
Practice address
4717 S 19TH ST, TACOMA, WA 98405-1167
(253) 588-7911
(253) 984-6774
Mailing address
PO BOX 97115, LAKEWOOD, WA 98497-0115
(253) 588-7911
(253) 984-6774
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
RN00046787
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9619917
—
WA
Enumeration date
08/22/2007
Last updated
08/22/2007
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