| NPI | 1982111456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDY REED Manager 661-335-7755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95000160) |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2018-01-05 |