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Individual

RAY NEIL MITSUNO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
3600 BROADWAY, OAKLAND, CA 94611-5730
(510) 752-1000
Mailing address
225 POMONA AVE, EL CERRITO, CA 94530-4138
(510) 508-3091

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95000867
CA

Other

Enumeration date
02/03/2018
Last updated
01/03/2022
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