NPI | 1225234065 |
---|---|
Entity Type | Organization |
Authorized Contact | DALENE D PERDUE Sole Proprietor 719-564-5855 |
Organization Subpart ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 150270) |
Enumeration Date | 2007-06-26 |
Last Update Date | 2020-08-22 |