| NPI | 1043621774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANARDIE FRANCIS SHIMATA Owner 801-392-0385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2014-05-15 |