Individual
THATCHER FERRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4647 ZION AVE, SAN DIEGO, CA 92120-2507
(619) 528-7266
Mailing address
1226 VIA MIL CUMBRES, SOLANA BEACH, CA 92075-1727
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95000784
CA
Other
Enumeration date
10/23/2017
Last updated
10/11/2021
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