MARK MIZUBA

ROANOKE, VA
NPI1164439899
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: VA  0024166707)
Enumeration Date2006-08-02
Last Update Date2025-12-22
Business Address
-- MARK MIZUBA CRNA
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014-1838
Phone number: 540-853-0222
Mailing Address
-- MARK MIZUBA CRNA
213 S JEFFERSON ST STE 1006
ROANOKE, VA 24011-1713
Phone number: