| NPI | 1437499266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYLAN WYATT KRUSE CEO 951-335-5461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 3970) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 4114) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 3956) | |
| Enumeration Date | 2013-02-14 |
| Last Update Date | 2023-02-23 |