Individual
MR. CHARLES JOSEPH PARADISE
Active
Individual
MR. CHARLES JOSEPH PARADISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
202002199CRNA
OR
367500000X
Certified Registered Nurse Anesthetist
691160
TX
Other
Enumeration date
10/25/2005
Last updated
07/31/2020
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