NICHOLAS J THEOBALD

SACRAMENTO, CA
NPI1205102522
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: CA  4155)
Enumeration Date2012-03-30
Last Update Date2012-03-30
Business Address
-- NICHOLAS J THEOBALD CRNA
6600 BRUCEVILLE RD
SACRAMENTO, CA 95823-4671
Phone number: 916-688-2000
Mailing Address
-- NICHOLAS J THEOBALD CRNA
6600 BRUCEVILLE RD
SACRAMENTO, CA 95823-4671
Phone number:
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