ANTHONY CIENFUEGOS

NORMAL, IL
NPI1073027462
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  209016895)
Enumeration Date2017-11-22
Last Update Date2024-03-26
Business Address
ANTHONY CIENFUEGOS CRNA
1302 FRANKLIN AVE
NORMAL, IL 61761-3551
Phone number: 309-268-5867
Mailing Address
ANTHONY CIENFUEGOS CRNA
611 W PARK ST FAPC
URBANA, IL 61801
Phone number: