| NPI | 1063824969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANARDIE FRANCIS SHIMATA Owner 801-392-0385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: UT 2775864406) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2015-05-28 |