| NPI | 1841481777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HALL Incorporator 909-289-2250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA NA3180) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2007-08-06 |