| NPI | 1841439361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYLE LEE ULSHAFER CEO 760-241-2179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: CA RN299944 CRNA 604) |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2009-02-05 |