| NPI | 1174280309 |
|---|---|
| Other Name | MANDRAKE CRNA NURSING SERVICES, A PROFFEDIONAL CORPORATION |
| Entity Type | Organization |
| Authorized Contact | DIEGO ROMAN CAVENAGHI CEO 951-823-2413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2021-11-22 |
| Last Update Date | 2021-11-22 |