MARK MIZUBA

SALEM, VA
NPI1164439899
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: VA  0024166707)
Enumeration Date2006-08-02
Last Update Date2014-04-28
Business Address
-- MARK MIZUBA CRNA
1970 ROANOKE BLVD
SALEM, VA 24153-6404
Phone number: 540-982-2463
Mailing Address
-- MARK MIZUBA CRNA
1970 ROANOKE BLVD
SALEM, VA 24153-6404
Phone number: 540-982-2463