| NPI | 1124554647 |
|---|---|
| Doing Business As | 7CAC |
| Entity Type | Organization |
| Authorized Contact | CARLOS CAJARES Practice Manager 757-582-1899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2023-01-31 |