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GENESIS ANESTHESIA SERVICES PLLC

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Company Details

Legal Name: GENESIS ANESTHESIA SERVICES PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: January 25th 2010
Expiration date: 31 Jan 2026
UBI Number: 602 985 689
ZIP code: 98391
City: Bonney Lake
County: PIERCE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 2005 TACOMA POINT DR E, LAKE TAPPS, WA, 98391-9418, UNITED STATES

Contact Details

E-Mail: CESSNARICH@GMAIL.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
RICHARD CESSNA Registered Agent 2005 TACOMA POINT DR E, LAKE TAPPS, WA, 98391-9418, UNITED STATES

Key Officers & Management

Name Role
RICHARD CESSNA Governing Person

National Provider Identifier

NPI Number:
1548582000

Authorized Person:

Name:
MR. RICHARD F CESSNA JR.
Role:
PROVIDER/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
163W00000X - Registered Nurse
Is Primary:
No
Selected Taxonomy:
163W00000X - Registered Nurse
Is Primary:
No
Selected Taxonomy:
367500000X - Certified Registered Nurse Anesthetist
Is Primary:
Yes

Contacts:

Fax:
2539846774
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