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MR. SEBASTIAN NMN STACHOWICZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
34800 BOB WILSON DR, NMCSD, SAN DIEGO, CA 92134-1098
(619) 532-8966
Mailing address
11816 CYPRESS CANYON RD, UNIT 1, SAN DIEGO, CA 92131-5735
(760) 660-1301

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
632875
CA
163WC0200X
Critical Care Medicine Registered Nurse
632875
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
082585
CA

Other

Enumeration date
06/16/2008
Last updated
02/10/2010
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