RICO LIWANAGAN

BALTIMORE, MD
NPI1295287787
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MD  R160556)
Enumeration Date2016-10-31
Last Update Date2022-06-02
Business Address
Mr. RICO LIWANAGAN CRNA, MSN
4940 EASTERN AVE RM 588
BALTIMORE, MD 21224-2735
Phone number: 410-550-0942
Mailing Address
Mr. RICO LIWANAGAN CRNA, MSN
3460 E LA PALMA AVE
ANAHEIM, CA 92806-2020
Phone number: