| NPI | 1891370854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL HUBER Owner 707-337-4250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2021-03-11 |
| Last Update Date | 2023-07-28 |