| NPI | 1417612714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN MARTINEZ CEO/President 949-588-2190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2021-11-02 |
| Last Update Date | 2021-11-02 |