| NPI | 1174984678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL T REID Owner 909-731-5794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA NA# 2132) |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2016-03-10 |