Individual
MR. AUMNARD SAISEUBYAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2823 FRESNO ST., STOCKTON, CA 93721-1324
(559) 459-3965
(559) 498-8182
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
625335
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
4268
CA
Other
Enumeration date
05/07/2012
Last updated
09/07/2016
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