Individual
SAMMY S. LOONKISHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
414 CRYSTAL POINT DR, DAYTON, OH 45459-4170
(937) 271-3495
Mailing address
414 CRYSTAL POINT DR, DAYTON, OH 45459-4170
(937) 271-3495
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
019961
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/07/2019
Last updated
10/04/2019
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