CHARISSA ANN MARIE KAST

LOMA LINDA, CA
NPI1083317218
Former NameCHARISSA GOOSEY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: CA  95002048)
Additional Taxonomies163WC0200X Registered Nurse, Critical Care Medicine
(Licence: CA  95167170)
Enumeration Date2023-03-27
Last Update Date2023-05-08
Business Address
CHARISSA ANN MARIE KAST CRNA
11234 ANDERSON ST
LOMA LINDA, CA 92354-2804
Phone number: 909-558-4000
Mailing Address
CHARISSA ANN MARIE KAST CRNA
25288 VAN LEUVEN ST
LOMA LINDA, CA 92354-2212
Phone number: 813-504-6550