| NPI | 1730126632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS A. DEASCENTIS Administrator 330-286-5330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2019-11-04 |