| NPI | 1982579199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA SALAZAR Owner/Provider 857-869-4534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2025-10-07 |
| Last Update Date | 2025-10-07 |