| NPI | 1063880276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMIE M BAKER President 916-317-5557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA NA3237) |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2015-09-03 |