Individual
MANISHA PACHBHAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
424 ORCHARD VIEW CT, GLEN CARBON, IL 62034-4337
(630) 696-7418
Mailing address
424 ORCHARD VIEW CT, GLEN CARBON, IL 62034-4337
(630) 696-7418
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2017006741
MO
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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